AUTHOR=Ploneda Valencia Ruy Gonzalo , Levinstein Jacinto Moisés , Sánchez Contreras Carmen A. , Ruiz González Gustavo , Neach de la Vega Diego , Márquez Murillo Manlio F. , Nava Santiago 

TITLE=Case report: Challenges and implications of conduction system pacing in pediatrics: Case series

JOURNAL=Frontiers in Pediatrics

VOLUME=11

YEAR=2023

URL=https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2023.1160335

DOI=10.3389/fped.2023.1160335

ISSN=2296-2360

ABSTRACT=<p>Cardiac electrical stimulation in children usually is needed in the setting of complete congenital atrioventricular block, atrioventricular block after heart surgery, and bradycardia associated with some specific channelopathies. In cases of atrioventricular block, the high percentage of ventricular stimulation raises concern on the deleterious effects of chronic stimulation of the right ventricle. In recent years, physiologic stimulation has developed as a valid approach for adult patients and a great interest has risen in offering conduction system pacing also to the pediatric population. We present three pediatric cases of stimulation of the conduction system (His bundle or left bundle branch), in order to show the intrinsic particularities and challenges implied in these new techniques.</p>