Abstract
The societal guidelines recommend physiologic pacing for patients who are anticipated to require high burden ventricular pacing. This includes patients with a) AV block and LVEF between 35-50%, b) tachy-cardiomyopathy undergoing AV node ablation, c) chronic RV pacing induced cardiomyopathy, and d) failed CS lead implants as a rescue CRT strategy. There are limited data on the utility of left bundle branch area pacing (LBBAP) as an alternative to CRT in this patient sub-groups.
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