[New frontiers in pacing: from myocardial pacing to conduction system pacing]. / Nuove frontiere dell'elettrostimolazione: dal pacing del miocardio comune al pacing del sistema di conduzione.
G Ital Cardiol (Rome)
; 25(5): 327-339, 2024 05.
Article
en It
| MEDLINE
| ID: mdl-38639123
ABSTRACT
For many years, cardiac pacing has been based on the stimulation of right ventricular common myocardium to correct diseases of the conduction system. The birth and the development of cardiac resynchronization have led to growing interest in the correction and prevention of pacing-induced dyssynchrony. Many observational studies and some randomized clinical trials have shown that conduction system pacing (CSP) can not only prevent pacing-induced dyssynchrony but can also correct proximal conduction system blocks, with reduction of QRS duration and with equal or greater effectiveness than biventricular pacing. Based on these results, many Italian electrophysiologists have changed the stimulation target from the right ventricular common myocardium to CSP. The two techniques with greater clinical impact are the His bundle stimulation and the left bundle branch pacing. The latter, in particular, because of its easier implantation technique and better electric parameters, is spreading like wildfire and is representing a real revolution in the cardiac pacing field. However, despite the growing amount of data, until now, the European Society of Cardiology guidelines give a very limited role to CSP.
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Terapia de Resincronización Cardíaca
/
Insuficiencia Cardíaca
Límite:
Humans
Idioma:
It
Revista:
G Ital Cardiol (Rome)
Asunto de la revista:
CARDIOLOGIA
Año:
2024
Tipo del documento:
Article