Pacing down Hollywood Blvd. - 2022 Quality Summit presentation (Non-CE)-Session

Video Transcription

Video Summary

In the video, Dr. Omer Youssef, a board-certified electrophysiologist and cardiologist, discusses novel pacing techniques and the evolution of pacing therapy. He touches on the drawbacks of right ventricular (RV) pacing and the limitations of cardiac resynchronization therapy (CRT). Dr. Youssef explains the anatomy of the AV conduction system and how conduction system pacing can overcome bundle branch block. He discusses the evidence of benefit with conduction system pacing over RV pacing and compares conduction system pacing with biventricular pacing for CRT. Several studies have shown that conduction system pacing, particularly left bundle branch pacing, can be more effective in achieving electrical resynchronization and improving outcomes compared to RV pacing and traditional CRT. However, the thresholds for lead placement and the selection of optimal pacing techniques are still subjects of ongoing research and clinical trials. Dr. Youssef highlights the importance of avoiding dyssynchrony and emphasizes the need for individualized approaches based on patient indicators and characteristics. Overall, conduction system pacing has shown promise as an alternative to RV pacing and CRT, particularly for patients with left bundle branch block and its potential benefits in reducing heart failure hospitalizations, improving ejection fraction, and restoring electrical resynchronization.<br />End of transcript.

Keywords

pacing techniques

cardiac resynchronization therapy

conduction system pacing

bundle branch block

biventricular pacing

electrical resynchronization

heart failure hospitalizations