2023 HRS/APHRS/LAHRS guideline on cardiac physiologic pacing for the avoidance and mitigation of heart failure.

Abstract

Cardiac physiologic pacing (CPP), encompassing cardiac resynchronization therapy (CRT) and conduction system pacing (CSP), has emerged as a pacing therapy strategy that may mitigate or prevent the development of heart failure (HF) in patients with ventricular dyssynchrony or pacing-induced cardiomyopathy. This clinical practice guideline is intended to provide guidance on indications for CRT for HF therapy and CPP in patients with pacemaker indications or HF, patient selection, pre-procedure evaluation and preparation, implant procedure management, follow-up evaluation and optimization of CPP response, and use in pediatric populations. Gaps in knowledge, pointing to new directions for future research, are also identified.

• Authors: Mina K Chung, Kristen K Patton, Chu-Pak Lau, Alexander R J Dal Forno, Sana M Al-Khatib, Vanita Arora, Ulrika Maria Birgersdotter-Green, Yong-Mei Cha, Eugene H Chung, Edmond M Cronin, Anne B Curtis, Iwona Cygankiewicz, Gopi Dandamudi, Anne M Dubin, Douglas P Ensch, Taya V Glotzer, Michael R Gold, Zachary D Goldberger, Rakesh Gopinathannair, Eiran Z Gorodeski, Alejandra Gutierrez, Juan C Guzman, Weijian Huang, Peter B Imrey, Julia H Indik, Saima Karim, Peter P Karpawich, Yaariv Khaykin, Erich L Kiehl, Jordana Kron, Valentina Kutyifa, Mark S Link, Joseph E Marine, Wilfried Mullens, Seung-Jung Park, Ratika Parkash, Manuel F Patete, Rajeev Kumar Pathak, Carlos A Perona, John Rickard, Mark H Schoenfeld, Swee-Chong Seow, Win-Kuang Shen, Morio Shoda, Jagmeet P Singh, David J Slotwiner, Arun Raghav M Sridhar, Uma N Srivatsa, Eric C Stecker, Tanyanan Tanawuttiwat, W H Wilson Tang, Carlos Andres Tapias, Cynthia M Tracy, Gaurav A Upadhyay, Niraj Varma, Kevin Vernooy, Pugazhendhi Vijayaraman, Sarah Ann Worsnick, Wojciech Zareba, Emily P Zeitler
• Journal: Heart rhythm (Heart Rhythm) Vol. 20 Issue 9 Pg. e17-e91 (09 2023) ISSN: 1556-3871 [Electronic] United States
• PMID: 37283271 (Publication Type: Practice Guideline, Journal Article)
• Copyright: Copyright © 2023 The Heart Rhythm Society, the European Heart Rhythm Association, the Asia Pacific Heart Rhythm Society, and the Latin American Heart Rhythm Society. Published by Elsevier Inc. All rights reserved.

Topics

• Child
• Humans
• Bundle of His
• Treatment Outcome
• Cardiac Conduction System Disease
• Cardiac Resynchronization Therapy (methods)
• Heart Failure (therapy)
• Electrocardiography (methods)