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Research Letter|Articles in Press

Simplifying follow-up of left bundle branch pacing leads: Assessment of left bundle branch capture using a programmer only

Published:January 28, 2023DOI:https://doi.org/10.1016/j.hrthm.2023.01.031
      Left bundle branch pacing (LBBP) reduces adverse outcomes,

      Tan ESJ, Soh R, Lee J-Y, et al. Clinical outcomes in conduction system pacing compared to right ventricular pacing in bradycardia [published online ahead of print November 30, 2022]. JACC Clin Electrophysiol. doi:10.1016/j.jacep.2022.10.016.

      but ascertaining left bundle branch (LBB) capture with a programmer to conduct threshold testing and multiple 12-lead electrocardiograms (ECGs) to assess for QRS transitions during differential pacing is cumbersome and inefficient.
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      References

      1. Tan ESJ, Soh R, Lee J-Y, et al. Clinical outcomes in conduction system pacing compared to right ventricular pacing in bradycardia [published online ahead of print November 30, 2022]. JACC Clin Electrophysiol. doi:10.1016/j.jacep.2022.10.016.

        • Tan E.S.J.
        • Lee J.Y.
        • Boey E.
        • et al.
        Use of extendable helix leads for conduction system pacing: differences in lead handling and performance lead design impacts conduction system pacing.
        J Cardiovasc Electrophysiol. 2022; 33: 1550-1557
        • Jastrzebski M.
        ECG and pacing criteria for differentiating conduction system pacing from myocardial pacing.
        Arrhythm Electrophysiol Rev. 2021; 10: 172-180
        • Tan E.S.J.
        • Lee J.Y.
        • Boey E.
        • et al.
        Predictors of loss of capture in left bundle branch pacing: a multicenter experience.
        Heart Rhythm. 2022; 19: 1757-1758