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REVIEW article

Front. Cardiovasc. Med.
Sec. General Cardiovascular Medicine
Volume 11 - 2024 | doi: 10.3389/fcvm.2024.1373884
This article is part of the Research Topic Insights in Cardiology from Caring for a Diverse Community: Perspectives from Inova Schar Heart and Vascular View all 20 articles

Leadless and Left Bundle Branch Area Pacemakers, Complementary Advantages Require a Personalized Approach

Provisionally accepted
Omair Yousuf Omair Yousuf 1Jeff Lee Jeff Lee 2Brett Atwater Brett Atwater 3*
  • 1 Carient Heart and Vascular, Manassas, VA, United States
  • 2 Virginia Heart, Falls Church, Virginia, United States
  • 3 Inova Schar Heart and Vascular, Falls Church, Virginia, United States

The final, formatted version of the article will be published soon.

    Traditional transvenous pacemakers are composed of a pacemaker generator usually positioned surgically in the left upper chest on the pectoral muscle fascia and one or more leads positioned through the veins to the right atrium and across the tricuspid valve to the right ventricular apex. While these devices reduce symptoms and improve survival for patients with symptomatic bradycardia, they are associated with increased risk of infection, venous occlusion, heart failure, and tricuspid valve regurgitation. New pacemaker designs minimize these risks but no current generation pacemaker designs effectively eliminate all these risks. A personalized approach to the decision of which pacemaker is appropriate for an individual patient is needed to optimize outcomes.

    Keywords: pacemaker, Leadless, Conduction system, Physiologic pacing, left bundle area pacing

    Received: 20 Jan 2024; Accepted: 16 May 2024.

    Copyright: © 2024 Yousuf, Lee and Atwater. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Brett Atwater, Inova Schar Heart and Vascular, Falls Church, VA 22042, Virginia, United States

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.