Network meta‐analysis of His bundle, biventricular, or right ventricular pacing as a primary strategy for advanced atrioventricular conduction disease with normal or mildly reduced ejection fraction

2020 ◽  
Vol 31 (6) ◽  
pp. 1482-1492
Author(s):  
Gilson C. Fernandes ◽  
Leonardo Knijnik ◽  
Juan Lopez ◽  
Manuel Rivera ◽  
Amanda Fernandes ◽  
...  
Keyword(s):  
Ejection Fraction ◽  
Right Ventricular ◽  
Meta Analysis ◽  
Atrioventricular Conduction ◽  
Ventricular Pacing ◽  
Right Ventricular Pacing ◽  
Reduced Ejection Fraction ◽  
His Bundle ◽  
Primary Strategy

scholarly journals A network meta-analysis and systematic review of change in QRS duration after left bundle branch pacing, His bundle pacing, biventricular pacing, or right ventricular pacing in patients requiring permanent pacemaker

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Nithi Tokavanich ◽  
Narut Prasitlumkum ◽  
Wimwipa Mongkonsritragoon ◽  
Wisit Cheungpasitporn ◽  
Charat Thongprayoon ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Biventricular Pacing ◽  
Meta Analysis ◽  
Mean Difference ◽  
Ventricular Pacing ◽  
Right Ventricular Pacing ◽  
His Bundle ◽  
His Bundle Pacing ◽  
Significant Difference ◽  
Qrs Duration

AbstractCardiac dyssynchrony is the proposed mechanism for pacemaker-induced cardiomyopathy, which can be prevented by biventricular pacing. Left bundle branch pacing and His bundle pacing are novel interventions that imitate the natural conduction of the heart with, theoretically, less interventricular dyssynchrony. One of the surrogate markers of interventricular synchrony is QRS duration. Our study aimed to compare the change of QRS duration before and after implantation between types of cardiac implantable electronic devices (CIEDs): left bundle branch pacing versus His bundle pacing versus biventricular pacing and conventional right ventricular pacing. A literature search for studies that reported an interval change of QRS duration after CIED implantation was conducted utilizing the MEDLINE, EMBASE, and Cochrane databases. All relevant works from database inception through November 2020 were included in this analysis. A random-effects model, Bayesian network meta-analysis was used to analyze QRS duration changes (eg, electrical cardiac synchronization) across different CIED implantations. The mean study sample size, from 14 included studies, was 185 subjects. The search found 707 articles. After exclusions, 14 articles remained with 2,054 patients. The His bundle pacing intervention resulted in the most dramatic decline in QRS duration (mean difference, − 53 ms; 95% CI − 67, − 39), followed by left bundle branch pacing (mean difference, − 46 ms; 95% CI − 60, − 33), and biventricular pacing (mean difference, − 19 ms; 95% CI − 37, − 1.8), when compared to conventional right ventricle apical pacing. When compared between LBBP and HBP, showed no statistically significant wider QRS duration in LBBP with mean different 6.5 ms. (95% CI − 6.7, 21). Our network meta-analysis found that physiologic pacing has the greatest effect on QRS duration after implantation. Thus, HBP and LBBP showed no significant difference between QRS duration after implantation. Physiologic pacing interventions result in improved electrocardiography markers of cardiac synchrony, narrower QRS duration, and might lower electromechanical dyssynchrony.

scholarly journals P410Pacing from his bundle area in patients with severe conduction disease and high burden of the right ventricular pacing

EP Europace ◽  
2018 ◽  
Vol 20 (suppl_1) ◽  
pp. i76-i76
Author(s):  
K Curila ◽  
D Herman ◽  
P Stros ◽  
J Zdarska ◽  
R Prochazkova ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Ventricular Pacing ◽  
Right Ventricular Pacing ◽  
High Burden ◽  
His Bundle ◽  
The Right

Permanent His-bundle pacing is feasible, safe, and superior to right ventricular pacing in routine clinical practice

Heart Rhythm ◽  
2015 ◽  
Vol 12 (2) ◽  
pp. 305-312 ◽  
Author(s):  
Parikshit S. Sharma ◽  
Gopi Dandamudi ◽  
Angela Naperkowski ◽  
Jess W. Oren ◽  
Randle H. Storm ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Right Ventricular ◽  
Routine Clinical Practice ◽  
Ventricular Pacing ◽  
Right Ventricular Pacing ◽  
His Bundle ◽  
His Bundle Pacing
Sign in / Sign up

Export Citation Format

Share Document