His Bundle (Conduction System) Pacing: A Contemporary Appraisal

Alan Sugrue; Subir Bhatia; Vaibhav R Vaidya; Ugur Kucuk; Siva K Mulpuru; Samuel J Asirvatham

doi:10.1016/j.ccep.2018.05.015

His Bundle (Conduction System) Pacing: A Contemporary Appraisal

Card Electrophysiol Clin. 2018 Sep;10(3):461-482. doi: 10.1016/j.ccep.2018.05.015.

Authors

Alan Sugrue¹, Subir Bhatia², Vaibhav R Vaidya¹, Ugur Kucuk¹, Siva K Mulpuru¹, Samuel J Asirvatham³

Affiliations

¹ Division of Heart Rhythm, Department of Cardiovascular Diseases, Mayo Clinic, 200 1st Street South West, Rochester, MN 55902, USA.
² Division of Internal Medicine, Department of Medicine, Mayo Clinic, 200 1st Street South West, Rochester, MN 55902, USA.
³ Division of Heart Rhythm, Department of Cardiovascular Diseases, Mayo Clinic, 200 1st Street South West, Rochester, MN 55902, USA. Electronic address: [email protected].

PMID: 30172283
DOI: 10.1016/j.ccep.2018.05.015

Abstract

The His bundle (conduction system) is an attractive target for physiologic pacing because it uses the native conduction system. Although the potential benefits of conduction system pacing were recognized in the 1970s, in the past 2 decades, it has grown in interest as a potentially preferred method of ventricular stimulation in appropriate patients. This review provides an appraisal of conduction system pacing, with focus on anatomy, physiology, tools, and techniques as well as an appraisal of current published data and thoughts on future directions.

Keywords: Cardiac resynchronization therapy; His bundle; His bundle pacing.

Publication types

Review

MeSH terms

Bundle of His / physiopathology*
Bundle-Branch Block / physiopathology
Bundle-Branch Block / therapy*
Cardiac Resynchronization Therapy / methods*
Electrocardiography / methods*
Heart Ventricles
Humans