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October 31, 2025EP EuropaceOpen Access

Mid- to long-term mechanical performance of left bundle branch area pacing: a comprehensive echocardiographic comparison of capture modalities

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Authors

APA Estevez PaniaguaSFS Briongos FigueroMMM Tapia Martinez

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Overview

Prospective study shows LBBAP maintains mechanical performance in 88 patients with preserved LVEF, suggesting a viable alternative to pacing modalities.

Key Points

  • LBBAP maintained global mechanical performance comparable to intrinsic rhythm, while increasing constructive work.
  • Global constructive work was higher during pacing at 2232.8 mmHg%, with a significant difference noted (p<0.001).
  • Analysis using two-dimensional echocardiography assessed performance across multiple pacing modalities in 88 patients.
  • Multivariate regression indicated modest GWE decreases with LVSP, highlighting subtle differences in pacing techniques.

Cite This Study

Paniagua et al. (2025) studied this question.

synapsesocial.com/papers/6903feedb25c631a426600f3https://doi.org/10.1093/europace/euaf271
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Also Consider

Synapse has enriched one closely related paper. Consider it for comparative context:

  1. 1Left bundle branch pacing: A comprehensive review2020 · 182 citations