PMID- 33028670 OWN - NLM STAT- MEDLINE DCOM- 20210629 LR - 20210629 IS - 1468-201X (Electronic) IS - 1355-6037 (Linking) VI - 106 IP - 24 DP - 2020 Dec TI - Novel bradycardia pacing strategies. PG - 1883-1889 LID - 10.1136/heartjnl-2020-316849 [doi] AB - The adverse effects of ventricular dyssynchrony induced by right ventricular (RV) pacing has led to alternative pacing strategies, such as biventricular, His bundle (HBP), LV septal (LVSP) and left bundle branch pacing (LBBP). Given the overlap, LVSP and LBBP are also collectively referred to as left bundle branch area pacing (LBBAP). Although among these alternative pacing sites HBP is theoretically the ideal strategy as it maintains a physiological ventricular activation, its application requires more skills and is associated with the most complications. LBBAP, where the ventricular pacing lead is advanced through the interventricular septum to its left side, creates ventricular activation that is only slightly more dyssynchronous. Preliminary studies have shown that LBBAP is feasible, safe and encounters less limitations than HBP. Further studies are needed to differentiate between LVSP and LBBP with regard to acute functional and long-term clinical outcome. CI - (c) Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ. FAU - Heckman, Luuk AU - Heckman L AD - Department of Physiology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, The Netherlands. FAU - Vijayaraman, Pugazhendhi AU - Vijayaraman P AUID- ORCID: 0000-0003-2230-100X AD - Geisinger Heart Institute, Geisinger Commonwealth School of Medicine, Wilkes Barre, Pennsylvania, USA. FAU - Luermans, Justin AU - Luermans J AD - Department of Cardiology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Centre+ (MUMC+), Maastricht, The Netherlands. AD - Department of Cardiology, Radboud University Medical Centre (Radboudumc), Nijmegen, The Netherlands. FAU - Stipdonk, Antonius M W AU - Stipdonk AMW AD - Department of Cardiology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Centre+ (MUMC+), Maastricht, The Netherlands. FAU - Salden, Floor AU - Salden F AD - Department of Cardiology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Centre+ (MUMC+), Maastricht, The Netherlands. FAU - Maass, Alexander H AU - Maass AH AUID- ORCID: 0000-0002-7936-360X AD - Department of Cardiology, University of Groningen, University Medical Centre Groningen (UMCG), The Netherlands. FAU - Prinzen, Frits W AU - Prinzen FW AD - Department of Physiology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, The Netherlands. FAU - Vernooy, Kevin AU - Vernooy K AUID- ORCID: 0000-0001-8539-3365 AD - Department of Cardiology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Centre+ (MUMC+), Maastricht, The Netherlands kevin.vernooy@mumc.nl. AD - Department of Cardiology, Radboud University Medical Centre (Radboudumc), Nijmegen, The Netherlands. LA - eng PT - Journal Article PT - Review DEP - 20201007 PL - England TA - Heart JT - Heart (British Cardiac Society) JID - 9602087 SB - IM MH - Bradycardia/physiopathology/*therapy MH - Bundle of His/*physiopathology MH - Cardiac Pacing, Artificial/*standards MH - Electrocardiography MH - Heart Rate/*physiology MH - Humans MH - *Practice Guidelines as Topic OTO - NOTNLM OT - bradyarrhythmias OT - pacemakers COIS- Competing interests: PV: fellowship support and research grant from Medtronic; honorarium from Abbott, Biotronik, Boston Scientific and Medtronic. Patent pending for His delivery tool. FWP: research grants from Medtronic, Abbott, MicroPort CRM, Biotronik. KV: research grants from Medtronic, Abbott and Biotronik, consultancy agreement with Medtronic. AHM: lecture fees from Abbott. TvS: lecture fees from Abbott. JL: consultancy agreement Medtronic. EDAT- 2020/10/09 06:00 MHDA- 2021/06/30 06:00 CRDT- 2020/10/08 05:27 PHST- 2020/06/17 00:00 [received] PHST- 2020/08/08 00:00 [revised] PHST- 2020/08/30 00:00 [accepted] PHST- 2020/10/09 06:00 [pubmed] PHST- 2021/06/30 06:00 [medline] PHST- 2020/10/08 05:27 [entrez] AID - heartjnl-2020-316849 [pii] AID - 10.1136/heartjnl-2020-316849 [doi] PST - ppublish SO - Heart. 2020 Dec;106(24):1883-1889. doi: 10.1136/heartjnl-2020-316849. Epub 2020 Oct 7.