[Left bundle branch pacing is superior to classic cardiac resynchronisation therapy : Pros and cons].

Linksschenkelstimulation ist der klassischen kardialen Resynchronisationstherapie überlegen : Pro und Contra.

Publisher: Country of Publication: Germany NLM ID: 9425873 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1435-1544 (Electronic) Linking ISSN: 09387412 NLM ISO Abbreviation: Herzschrittmacherther Elektrophysiol Subsets: MEDLINE

Publication: Heidelberg : Springer Medizin
Original Publication: Darmstadt : Steinkopff Verlag, [1990-

Cardiac Resynchronization Therapy*/methods ; Heart Failure*/therapy ; Bundle-Branch Block*/therapy ; Bundle-Branch Block*/physiopathology ; Evidence-Based Medicine*; Humans ; Treatment Outcome

Cardiac resynchronisation therapy (CRT) is an effective method for increasing quality of life and life expectancy for many patients with heart failure. Due to the good results, this procedure is used frequently in Germany and has established itself as a class I indication in heart failure therapy. In addition to His bundle pacing, left bundle branch pacing has now also made a name for itself, as it shows a good success rate and can be used in a wider range of patients. Now the question arises as to whether left bundle branch pacing is superior to classic biventricular pacing and what the evidence situation is in this respect. This question shall be discussed in this article considering current studies and guideline recommendations.
Competing Interests: Einhaltung ethischer Richtlinien. Interessenkonflikt: S. Richter ist Berater für Medtronic, Boston Scientific, Abbott, und Biotronik; er ist Mitglied des Medtronic European Conduction System Advisory Board und Boston Scientific European Strategic Advisory Board. B. Lemke gibt an, dass kein Interessenkonflikt besteht. Für diesen Beitrag wurden von den Autor/-innen keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.
(© 2024. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.)

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Keywords: Biventricular pacing; Cardiac resynchronization therapy; Conduction system pacing; Evidence; Heart failure
Local Abstract: [Publisher, German] Die kardiale Resynchronisationstherapie (CRT) ist für viele Patienten mit Herzinsuffizienz eine effektive Methode, um die Lebensqualität und die Lebenserwartung zu erhöhen. Aufgrund der guten Ergebnisse kommt sie in Deutschland sehr häufig zum Einsatz und gilt als Klasse-I-Indikation in der Herzinsuffizienztherapie. Neben der His-Bündel-Stimulation hat sich mittlerweile auch die Linksschenkelstimulation einen Namen gemacht, da sie eine gute Erfolgsrate aufweist und bei einem breiteren Patientengut anwendbar sein soll. Nun stellt sich die Frage, ob die Linksschenkelstimulation der klassischen biventrikulären Stimulation überlegen ist und wie sich diesbezüglich die Evidenzlage darstellt. In dem vorliegenden Beitrag soll diese Frage unter Berücksichtigung der aktuellen Studienlage und Leitlinienempfehlungen erörtert werden.

Date Created: 20241118 Date Completed: 20241128 Latest Revision: 20241128

20241202

10.1007/s00399-024-01054-6

39557652