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Review
. 2021 Jul;10(2):85-90.
doi: 10.15420/aer.2021.16.

Troubleshooting Programming of Conduction System Pacing

Elise Bakelants  1 , Haran Burri  1
Affiliations
Review

Troubleshooting Programming of Conduction System Pacing

Elise Bakelants et al. Arrhythm Electrophysiol Rev. 2021 Jul.

Abstract

Conduction system pacing (CSP) comprises His bundle pacing and left bundle branch area pacing and is rapidly gaining widespread adoption. Effective CSP not only depends on successful system implantation but also on proper device programming. Current implantable impulse generators are not specifically designed for CSP. Either single chamber, dual chamber or CRT devices can be used for CSP depending on the underlying heart rhythm (sinus rhythm or permanent atrial arrhythmia) and the aim of pacing. Different programming issues may arise depending on the device configuration. This article aims to provide an update on practical considerations for His bundle and left bundle branch area pacing programming and follow-up.

Keywords: Conduction system pacing; His bundle pacing; left bundle branch area pacing; programming; troubleshooting.

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Conflict of interest statement

Disclosure: HB has received institutional fellowship support/research grants or consultancy/speaker fees from Abbott, Biotronik, Boston Scientific, Medtronic and Microport. EB has no conflicts to declare.

Figures

Figure 1:
Figure 1:. T Wave Oversensing in the AAI(R) Mode
Figure 2:
Figure 2:. Anodal Capture with Left Bundle Branch Area Pacing
Figure 3:
Figure 3:. Intermittent Oversensing by the His Bundle Pacing Lead
Figure 4:
Figure 4:. Ventricular Safety Pacing
See this image and copyright information in PMC

References

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