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 Heartbeat Sub-Editor: Dr Khin Kay Kay Kyaw I am currently working as cardiology specialist registrar ST6 at southwest peninsula region while also working as
Author Sub-editor: Dr Pok-Tin Tang Dr Pok-Tin Tang is an ST5 cardiology registrar in the Thames Valley deanery, currently undertaking a period of out of
Author Sub-editor: Dr May Hu Dr May Hu is a cardiology trainee in the North West deanery. She graduated with First Class Honours from the University
Author Sub-editor: Dr Jhiamluka Solano Dr Jhiamluka Solano is a cardiology resident doctor (ST6) in the Yorkshire and Humber Deanery, currently undertaking a DPhil (PhD)