Daniel Keene

Haran Burri

Paul Foley

Frédéric Anselme

Óscar Cano Pérez

Karol Čurila

Michael Derndorfer

László Gellér

Michael Glikson

Wim Huybrechts

Marek Jastrzebski

Krzysztof Kaczmarek

Grigorios Katsouras

Jonathan Lyne

Pablo Peñafiel Verdú

Christian Restle

Sergio Richter

Stefan Timmer

Kevin Vernooy

Zachary Whinnett

Abstract: Aims The field of conduction system pacing (CSP) is evolving, and our aim was to obtain a contemporary picture of European CSP practice. Methods and results A survey was devised by a European CSP Expert Group and sent electronically to cardiologists utilizing CSP. A total of 284 physicians were invited to contribute of which 171 physicians (60.2%; 85% electrophysiologists) responded. Most (77%) had experience with both His-bundle pacing (HBP) and left bundle branch area pacing (LBBAP). Pacing indications ranked highest for CSP were atrioventricular block (irrespective of left ventricular ejection fraction) and when coronary sinus lead implantation failed. For patients with left bundle branch block (LBBB) and heart failure (HF), conventional biventricular pacing remained first-line treatment. For most indications, operators preferred LBBAP over HBP as a first-line approach. When HBP was attempted as an initial approach, reasons reported for transitioning to utilizing LBBAP were: (i) high threshold (reported as >2 V at 1 ms), (ii) failure to reverse bundle branch block, or (iii) > 30 min attempting to implant at His-bundle sites. Backup right ventricular lead use for HBP was low (median 20%) and predominated in pace-and-ablate scenarios. Twelve-lead electrocardiogram assessment was deemed highly important during follow-up. This, coupled with limitations from current capture management algorithms, limits remote monitoring for CSP patients. Conclusions This survey provides a snapshot of CSP implementation in Europe. Currently, CSP is predominantly used for bradycardia indications. For HF patients with LBBB, most operators reserve CSP for biventricular implant failures. Left bundle branch area pacing ostensibly has practical advantages over HBP and is therefore preferred by many operators. Practical limitations remain, and large randomized clinical trial data are currently lacking

Conduction System Pacing, a European Survey: Insights from Clinical Practice

Carsten Israel

Jean-Claude Deharo

An essential companion for both the aspiring and practising electrophysiologist,The EHRA Book of Pacemaker, ICD and CRT Troubleshooting assists device specialists in tackling both common and unusual situations that that they may encounter during daily practice. Taking a case-based approach, it examines pacemakers, implantable cardioverter defibrillators and cardiac resynchronisation therapy. Much more than just a technical manual of device algorithms, the cases help readers to consolidate their technical knowledge, and improve their reasoning and observation skills so they are able to tackle device troubleshooting with confidence. The 70 cases are arranged in three sections by increasing levels of difficulty to walk readers through all the skills and knowledge they need in an easy to use and structured format. Each case contains a short clinical description and a device tracing followed by a multiple choice question. Answers are supplied with detailed annotations of the tracing and an in-depth discussion of the case, highlighting practical hints and tips as well as providing an overview of the technical function of devices. A useful summary of principal device features and functions is also included. The EHRA Book of Pacemaker, ICD and CRT Troubleshooting is the perfect companion for electrophysiologists, cardiology trainees and technical consultants working with device patients as well as for those studying for the EHRA accreditation exam in cardiac pacing.

Case-Based Learning with Multiple Choice Questions

The EHRA Book of Pacemaker, ICD, and CRT Troubleshooting

Hein Heidbuchel

Mattias Duytschaever

The EHRA Book of Interventional Electrophysiology is the second official textbook of European Heart Rhythm Association (EHRA). Using clinical cases to encourage practical learning, this book assists electrophysiologists and device specialists in tackling both common and unusual situations that they may encounter during daily practice. Richly illustrated, and covering electrophysiological procedures for supra-ventricular and ventricular arrhythmias, the book enables specialists to deepen their understanding of complex concepts and techniques. Tracings, covering supra-ventricular and ventricular arrhythmias, are presented with multiple-choice questions to allow readers to hone their skills for interpreting challenging cases and to prepare for the EHRA certification exam in electrophysiology. Cases include Orthodromic AVRT, PV Isolation, VT ablation, and Atypical left atrial flutter to name a few. The EHRA Book of Interventional Electrophysiology is a wide-ranging, practical case-book, written by leading experts in the field and edited by members of the EHRA education committee: an essential companion for electrophysiologists and trainees alike.

The EHRA Book of Interventional Electrophysiology

Haran Burri

About

Books

Join the club