2023 HRS/APHRS/LAHRS guideline on cardiac physiologic pacing for the avoidance and mitigation of heart failure

Mina K Chung*, Kristen K Patton, Chu-Pak Lau, Alexander R J Dal Forno, Sana M Al-Khatib, Vanita Arora, Ulrika Maria Birgersdotter-Green, Yong-Mei Cha, Eugene H Chung, Edmond M Cronin, Anne B Curtis, Iwona Cygankiewicz, Gopi Dandamudi, Anne M Dubin, Douglas P Ensch, Taya V Glotzer, Michael R Gold, Zachary D Goldberger, Rakesh Gopinathannair, Eiran Z GorodeskiAlejandra Gutierrez, Juan C Guzman, Weijian Huang, Peter B Imrey, Julia H Indik, Saima Karim, Peter P Karpawich, Yaariv Khaykin, Erich L Kiehl, Jordana Kron, Valentina Kutyifa, Mark S Link, Joseph E Marine, Wilfried Mullens, Seung-Jung Park, Ratika Parkash, Manuel F Patete, Rajeev Kumar Pathak, Carlos A Perona, John Rickard, Mark H Schoenfeld, Swee-Chong Seow, Win-Kuang Shen, Morio Shoda, Jagmeet P Singh, David J Slotwiner, Arun Raghav M Sridhar, Uma N Srivatsa, Eric C Stecker, Kevin Vernooy, Collaborator group

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Cardiac physiologic pacing (CPP), encompassing cardiac resynchronization therapy (CRT) and conduction system pacing (CSP), has emerged as a pacing therapy strategy that may mitigate or prevent the development of heart failure (HF) in patients with ventricular dyssynchrony or pacing-induced cardiomyopathy. This clinical practice guideline is intended to provide guidance on indications for CRT for HF therapy and CPP in patients with pacemaker indications or HF, patient selection, pre-procedure evaluation and preparation, implant procedure management, follow-up evaluation and optimization of CPP response, and use in pediatric populations. Gaps in knowledge, pointing to new directions for future research, are also identified.

Original languageEnglish
Pages (from-to)e17-e91
Number of pages75
JournalHeart Rhythm
Volume20
Issue number9
Early online date15 May 2023
DOIs
Publication statusPublished - Sept 2023

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