AI Article Synopsis
- Recent advancements in cardiac pacing include conduction system pacing (CSP) and leadless pacemakers (LLPMs), which offer benefits like reduced complications and better heart function compared to traditional methods.
- CSP, particularly in the left bundle branch, is gaining popularity due to its advantages in improving heart mechanics, although challenges with lead placement and maintenance still exist.
- LLPMs, such as Aveir and Micra, are gaining traction for their effectiveness and compatibility with CSP, indicating a promising future for improved patient care in cardiac pacing technology.
Article Abstract
Purpose Of Review: The field of cardiac pacing has undergone significant evolution with the introduction and adoption of conduction system pacing (CSP) and leadless pacemakers (LLPMs). These innovations provide benefits over conventional pacing methods including avoiding lead related complications and achieving more physiological cardiac activation. This review critically assesses the latest advancements in CSP and LLPMs, including their benefits, challenges, and potential for future growth.
Recent Findings: CSP, especially of the left bundle branch area, enhances ventricular depolarization and cardiac mechanics. Recent studies show CSP to be favorable over traditional pacing in various patient populations, with an increase in its global adoption. Nevertheless, challenges related to lead placement and long-term maintenance persist. Meanwhile, LLPMs have emerged in response to complications from conventional pacemaker leads. Two main types, Aveir and Micra, have demonstrated improved outcomes and adoption over time. The incorporation of new technologies allows LLPMs to cater to broader patient groups, and their integration with CSP techniques offers exciting potential.
Summary: The advancements in CSP and LLPMs present a transformative shift in cardiac pacing, with evidence pointing towards enhanced clinical outcomes and reduced complications. Future innovations and research are likely to further elevate the clinical impact of these technologies, ensuring improved patient care for those with conduction system disorders.
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| http://dx.doi.org/10.1097/HCO.0000000000001092 | DOI Listing |
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