Journal of Clinical Pediatrics ›› 2022, Vol. 40 ›› Issue (4): 316-320.doi: 10.12372/jcp.2022.21e1257

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Application and prospect of left bundle branch pacing in children with cardiovascular diseases

XIONG Miao, LYU Tiewei   

  1. Department of Cardiology, Children’s Hospital Affiliated to Chongqing Medical University, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing Key Laboratory of Pediatrics, Chongqing 400014, China
  • Received:2021-08-30 Online:2022-04-15 Published:2022-04-07

Abstract:

His bundle pacing (HBP) is a physiological pacing mode of ventricular pacing, which can promote electrical resynchronization and biventricular synchrony. The left bundle branch pacing (LBBP), which was a supplement to HBP, has the advantages of simple operation and better parameters. However, the feasibility and safety of LBBP in children have not been well verified. And the differences in physiological characteristics and heart structure between children and adults are different which mean that the application of LBBP in children needs to be adjusted. In this review, we attempt to discuss the development of LBBP, the advantages of LBBP, the application and adjustment of LBBP in pediatrics, in order to explore the application and prospect of LBBP in children with cardiovascular diseases.

Key words: physiological pacing, his bundle pacing, left branch bundle pacing, atrioventricular block, left bundle branch block