Conduction system pacing in pediatric and congenital heart disease
Conduction system pacing (CSP) has evolved rapidly to become the pacing method of choice for many adults with structurally normal hearts. Studies in this population have repeatedly demonstrated superior hemodynamics and outcomes compared to conventional pacing with the recruitment of the native cond...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2023-03-01
|
| Series: | Frontiers in Physiology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fphys.2023.1154629/full |
| _version_ | 1797861109649113088 |
|---|---|
| author | Henry Chubb Douglas Mah Anne M. Dubin Jeremy Moore Jeremy Moore Jeremy Moore |
| author_facet | Henry Chubb Douglas Mah Anne M. Dubin Jeremy Moore Jeremy Moore Jeremy Moore |
| author_sort | Henry Chubb |
| collection | DOAJ |
| description | Conduction system pacing (CSP) has evolved rapidly to become the pacing method of choice for many adults with structurally normal hearts. Studies in this population have repeatedly demonstrated superior hemodynamics and outcomes compared to conventional pacing with the recruitment of the native conduction system. Children and patients with congenital heart disease (CHD) are also likely to benefit from CSP but were excluded from original trials. However, very recent studies have begun to demonstrate the feasibility and efficacy of CSP in these patients, with growing evidence that some outcomes may be superior in comparison to conventional pacing techniques. Concerns regarding the technical challenges and long-term lead parameters of His Bundle Pacing (HBP) have been overcome to many extents with the development of Left Bundle Branch Area Pacing (LBBAP), and both techniques are likely to play an important role in pediatric and CHD pacing in the future. This review aims to assimilate the latest developments in CSP and its application in children and CHD patients. |
| first_indexed | 2024-04-09T21:56:46Z |
| format | Article |
| id | doaj.art-c773875ebde94f399fb025aa40f7cf47 |
| institution | Directory Open Access Journal |
| issn | 1664-042X |
| language | English |
| last_indexed | 2024-04-09T21:56:46Z |
| publishDate | 2023-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Physiology |
| spelling | doaj.art-c773875ebde94f399fb025aa40f7cf472023-03-24T05:07:45ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2023-03-011410.3389/fphys.2023.11546291154629Conduction system pacing in pediatric and congenital heart diseaseHenry Chubb0Douglas Mah1Anne M. Dubin2Jeremy Moore3Jeremy Moore4Jeremy Moore5Division of Pediatric Cardiology, Department of Pediatrics, Stanford University, Palo Alto, CA, United StatesDepartment of Cardiology, Boston Children’s Hospital, Department of Pediatrics, Harvard Medical School, Boston, MA, United StatesDivision of Pediatric Cardiology, Department of Pediatrics, Stanford University, Palo Alto, CA, United StatesDivision of Cardiology, Ahmanson/UCLA Adult Congenital Heart Disease Center, Department of Medicine, University of California Los Angeles Medical Center, Los Angeles, CA, United StatesCardiac Arrhythmia Center, David Geffen School of Medicine, University of California, Los Angeles, CA, United StatesDivision of Cardiology, Department of Pediatrics, UCLA Medical Center, Los Angeles, CA, United StatesConduction system pacing (CSP) has evolved rapidly to become the pacing method of choice for many adults with structurally normal hearts. Studies in this population have repeatedly demonstrated superior hemodynamics and outcomes compared to conventional pacing with the recruitment of the native conduction system. Children and patients with congenital heart disease (CHD) are also likely to benefit from CSP but were excluded from original trials. However, very recent studies have begun to demonstrate the feasibility and efficacy of CSP in these patients, with growing evidence that some outcomes may be superior in comparison to conventional pacing techniques. Concerns regarding the technical challenges and long-term lead parameters of His Bundle Pacing (HBP) have been overcome to many extents with the development of Left Bundle Branch Area Pacing (LBBAP), and both techniques are likely to play an important role in pediatric and CHD pacing in the future. This review aims to assimilate the latest developments in CSP and its application in children and CHD patients.https://www.frontiersin.org/articles/10.3389/fphys.2023.1154629/fullconduction system pacingpediatriccongenital heart diseaseheart failuretransposition of the great arteries (TGA)left bundle area pacing |
| spellingShingle | Henry Chubb Douglas Mah Anne M. Dubin Jeremy Moore Jeremy Moore Jeremy Moore Conduction system pacing in pediatric and congenital heart disease Frontiers in Physiology conduction system pacing pediatric congenital heart disease heart failure transposition of the great arteries (TGA) left bundle area pacing |
| title | Conduction system pacing in pediatric and congenital heart disease |
| title_full | Conduction system pacing in pediatric and congenital heart disease |
| title_fullStr | Conduction system pacing in pediatric and congenital heart disease |
| title_full_unstemmed | Conduction system pacing in pediatric and congenital heart disease |
| title_short | Conduction system pacing in pediatric and congenital heart disease |
| title_sort | conduction system pacing in pediatric and congenital heart disease |
| topic | conduction system pacing pediatric congenital heart disease heart failure transposition of the great arteries (TGA) left bundle area pacing |
| url | https://www.frontiersin.org/articles/10.3389/fphys.2023.1154629/full |
| work_keys_str_mv | AT henrychubb conductionsystempacinginpediatricandcongenitalheartdisease AT douglasmah conductionsystempacinginpediatricandcongenitalheartdisease AT annemdubin conductionsystempacinginpediatricandcongenitalheartdisease AT jeremymoore conductionsystempacinginpediatricandcongenitalheartdisease AT jeremymoore conductionsystempacinginpediatricandcongenitalheartdisease AT jeremymoore conductionsystempacinginpediatricandcongenitalheartdisease |