Should His Bundle Pacing Be Preferred over Cardiac Resynchronization Therapy Following Atrioventricular Junction Ablation?

Journal Article (Journal Article;Review)

Atrial fibrillation (AF) and heart failure (HF) are associated with high morbidity and mortality, which is particularly detrimental when patients develop rapid ventricular rates (RVR). Atrioventricular junction (AVJ) ablation with pacemaker implantation has been used as a method of achieving rate control in patients with incessant AF with RVR. Right ventricular only pacing is known to be harmful in the setting of HF. His bundle pacing (HBP) and biventricular (BiV) pacing both offer durable pacing solutions that offer more physiologic activation. This review describes the benefits and drawbacks of HBP and BiV pacing in HF patients after AVJ ablation.

Full Text

Duke Authors

Cited Authors

  • Loring, Z; Sun, AY

Published Date

  • May 2019

Published In

Volume / Issue

  • 37 / 2

Start / End Page

  • 231 - 240

PubMed ID

  • 30926024

Pubmed Central ID

  • PMC6442941

Electronic International Standard Serial Number (EISSN)

  • 1558-2264

Digital Object Identifier (DOI)

  • 10.1016/j.ccl.2019.01.006


  • eng

Conference Location

  • Netherlands