Arrhythmias & electrophysiology
Right bundle branch pacing: Criteria, characteristics, and outcomes
Authors' conclusion
RBBP has distinct features that separate it from HBP and is observed in approximately a fifth of patients in whom HBP is intended.
Study context
- Population
- Patients with confirmed right conduction system pacing targeted for His bundle pacing (HBP)
- Participants
- 326 patients
- Exposure
- Right bundle branch pacing (RBBP) vs HBP
- RBBPn = 64
- Outcome
- RBBP prevalence among patients targeted for HBP
Main finding
As reported in the abstract
| Group | Value | Potential-QRS <35 ms | Remaining patients |
|---|---|---|---|
| RBBP | 19.2% | 90.6% [48 of 53] | 5.6% [16 of 273] |
RBBP
Value19.2%
Potential-QRS <35 ms90.6% [48 of 53]
Remaining patients5.6% [16 of 273]
Observational data: associations, not effects.
Further findings
| Outcome | Estimate |
|---|---|
| QRS duration, V6RWPT, sensingRBBP vs HBP · longer QRS | difference 10.5 ms |
| QRS duration, V6RWPT, sensingRBBP vs HBP · longer V6RWPT | difference 11.6 ms |
| QRS duration, V6RWPT, sensingRBBP vs HBP · better sensing | difference 2.6 mV |
Capture threshold, echocardiographic outcomes, mortality · median follow-up 29 months
- No differences between RBBP and HBP
Original publication
Right bundle branch pacing: Criteria, characteristics, and outcomes. Heart Rhythm. Published 23 January 2023. doi:10. 1016/ j. hrthm. 2023. 01. 017
Composed by AI from the published abstract and checked against it. How Briefs are made →