Device Programming for His Bundle Pacing

• Published in: Circulation. Arrhythmia and electrophysiology Vol. 12; no. 2; p. e006816
• Main Authors: Burri, Haran, Keene, Daniel, Whinnett, Zachary, Zanon, Francesco, Vijayaraman, Pugazhendhi
• Format: Journal Article
• Language: English
• Published: United States American Heart Association, Inc 01.02.2019
• Subjects: Action Potentials; Arrhythmias, Cardiac - diagnosis; Arrhythmias, Cardiac - physiopathology; Arrhythmias, Cardiac - therapy; Bundle of His - physiopathology; Cardiac Pacing, Artificial - methods; Electrocardiography; Electrophysiologic Techniques, Cardiac; Equipment Design; Heart Failure - diagnosis; Heart Failure - physiopathology; Heart Failure - therapy; Heart Rate; Humans; Pacemaker, Artificial; Predictive Value of Tests; Signal Processing, Computer-Assisted; Time Factors; Treatment Outcome; patient safety; cardiac pacemaker, artificial; cardiac resynchronization therapy; defibrillators; bundle of His
• ISSN: 1941-3149; 1941-3084; 1941-3084
• DOI: 10.1161/CIRCEP.118.006816

Although permanent His bundle pacing was first reported almost 2 decades ago, it is only recently gaining wider adoption, following facilitation of the implant procedure by dedicated tools. An additional challenge is programming the system, as His bundle pacing may have specific configurations and require special considerations which current implantable pulse generators are not designed for. The aim of this article is to provide practical recommendations for programming His bundle pacing, to deliver optimal therapy and ensure patient safety.