His Bundle Pacing: Getting on the Learning Curve

Daniel L Lustgarten

doi:10.1016/j.ccep.2018.05.012

His Bundle Pacing: Getting on the Learning Curve

Card Electrophysiol Clin. 2018 Sep;10(3):491-494. doi: 10.1016/j.ccep.2018.05.012.

Author

Daniel L Lustgarten¹

Affiliation

¹ The University of Vermont School of Medicine, The University of Vermont Medical Center, 111 Colchester Avenue, McClure 1 Cardiology, Burlington, VT 05401, USA. Electronic address: daniel.lustgarten@uvmhealth.org.

PMID: 30172285
DOI: 10.1016/j.ccep.2018.05.012

Abstract

Permanent His bundle pacing prevents ventricular dyssynchrony in patients who depend on ventricular pacing and can provide an alternative means to implementing cardiac resynchronization therapy in patients with bundle branch disease and congestive heart failure. Adoption of His bundle pacing, however, has lagged in part due to perceived and real challenges in performing the procedure well and durably. This article focuses on what is required to get on the learning curve and developing technical competence.

Keywords: Competence; Expertise; His bundle pacing; Physiologic pacing; Training.

Publication types

Review

MeSH terms

Bundle of His / physiopathology*
Bundle-Branch Block / physiopathology
Bundle-Branch Block / therapy*
Cardiac Resynchronization Therapy / methods*
Cardiology / education*
Education, Medical, Graduate / methods*
Humans
Learning Curve*