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Left Bundle Branch Area Pacing versus Right Ventricular Pacing in Cardiac Amyloidosis: the Left-Right CA study, a single center, retrospective comparative non-randomized analysis - PubMed

3 hours ago
  • #Heart Failure
  • #Pacing
  • #Cardiac Amyloidosis
  • Left Bundle Branch Area Pacing (LBBAP) vs. Right Ventricular Pacing (RVP) in Cardiac Amyloidosis (CA) was studied.
  • LBBAP showed shorter paced QRS duration (116 ± 17 ms) compared to RVP (159 ± 12 ms).
  • LBBAP was associated with fewer heart failure (HF) worsening events (9.1% vs. 69.2%) and acute HF events (4.5% vs. 69.2%).
  • Despite higher ventricular pacing burden, LBBAP had comparable mortality and complication rates to RVP.
  • The study suggests LBBAP is feasible and safer in CA patients, warranting further validation in larger studies.