What Really Matters with His Bundle and LBBB Pacing? - 2023 Quality Summit Presentation (Non-CE)-What Really Matters with His Bundle and LBBB Pacing?

Video Transcription

Video Summary

The video transcript discusses the topic of left bundle pacing and conduction system pacing in heart patients. Left bundle pacing involves placing a lead in the left ventricle to improve synchronization and reduce heart failure symptoms. Dr. Matthew Olson explains the anatomy of the heart's conduction system and the challenges of applying left bundle pacing. He also discusses the different variations of left bundle pacing and the difficulties in determining whether the conduction system is being captured. Complications of left bundle pacing can include septal perforation, complete heart block, dislodgement, and loss of left bundle capture. There is ongoing research and debate about the effectiveness and safety of left bundle pacing compared to traditional CRT pacing. Data from studies suggest that left bundle pacing can lead to improvements in left ventricular ejection fraction and reduce the risk of death and heart failure hospitalizations. However, more research is needed to establish the long-term outcomes and determine the best criteria for defining successful left bundle pacing. The transcript emphasizes the importance of thoroughly evaluating and reporting the success of left bundle pacing procedures.

Keywords

left bundle pacing

conduction system pacing

heart patients

synchronization

variations of left bundle pacing

complications of left bundle pacing

effectiveness of left bundle pacing

traditional CRT pacing

long-term outcomes