Heart failure & cardiomyopathiesMeta-analysis

Conduction system pacing for cardiac resynchronization therapy: a systematic review

EuropacePublished

  • Systematic review

Study context

Population
Patients with HF and left bundle branch block receiving cardiac resynchronization therapy (CRT)
Comparison
Conduction system pacing vs biventricular pacing for CRT

Pooled result

As reported in the abstract

Electro-mechanical ventricular synchrony, CSP vs BVP
  • Early studies suggest conduction system pacing (CSP) may achieve superior electro-mechanical ventricular synchrony vs biventricular pacing (BVP)
  • Evidence from large-scale RCTs scarce; procedural complexity and insufficient long-term outcome data prevent CSP replacing BVP as first-line CRT

Original publication

Conduction system pacing for cardiac resynchronization therapy: a systematic review. Europace. Published 19 May 2026. doi:10.1093/europace/euag122

Summarised from the published abstract; every number is checked against it