Batta A, Hatwal J. Left bundle branch pacing set to outshine biventricular pacing for cardiac resynchronization therapy? World J Cardiol 2024; 16(4): 186-190 [PMID: 38690215 DOI: 10.4330/wjc.v16.i4.186]
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06230962
Submitted on:
April 25, 2024, 21:16
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Reader Comments:
I have read with interest the article by Batta and Hatwal concerning Left bundle branch pacing, which provides the reader with a comprensive review of conduction system pacing.
Although well-summarised in tablet 1, I would have discussed in more depth the ongoing RCTs, preliminary and expected results.
It would be of interest to delineate more clearly the differences between His and Left bundle branch pacing, and the technical modalities and difficulties in achieving the correct placement of the electrodes. Moreover, It would be important to describe the main criteria to identify correct LBB pacing and the specific complications connected with the procedure.
In conclusion, we fully agree with the main messages of the authors that LBB pacing Is a promising pacing modality and we await with fervid expectations for the results of ongoing RCTs. It would be useful, also from the persopective of the general cardiologist, to be provided with a more on-field and pragmatic approach to LBB pacing in practice.
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