Conduction system pacing (CSP) is a novel method of cardiac pacing that uses the heart’s own conduction system to enable efficient, physiological ventricular activation (1,2).
Right ventricular pacing (RVP) and biventricular pacing (BVP) are the known conventional pacing methods. In RVP, by the nature of lead placement, inter-ventricular dysynchrony is introduced. In patients with left bundle branch block (LBBB) and severe left ventricular dysfunction, dysynchrony is particularly deleterious, and so a left ventricular lead is added in an endeavour to overcome this dysynchrony (3–5).
Conduction system pacing, through careful placement of the lead in the His-bundle or the left bundle area (LBA), provides an alternative to overcome inter-ventricular dysynchrony through physiological activation (5,6).
Author Sub-editor: Dr Joshua Rowland Dr Joshua Rowland is a cardiology registrar working in the North West Deanery. He graduated from the University of Manchester
Author Sub-editor: Dr Atmadeep Banerjee Dr Atmadeep Banerjee is an ST4 Cardiology Registrar in the Kent, Surrey and Sussex deanery. He graduated from Calcutta National
Authors Heartbeat Sub-Editor: Sandeep Singh Dr Sandeep Singh is a Cardiology Clinical Fellow at Nottingham University Hospitals NHS Trust. After graduating from India, he completed
Authors Heartbeat Sub-Editor: Khin Kay Kay Kyaw I am currently working as cardiology specialist registrar ST6 at southwest peninsula region while also working as an