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Cardiac Physiologic Pacing for the Avoidance and Mitigation of Heart Failure

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Disclaimer is resource is for informational purposes only, intended as a quick-reference tool based on the cited source guideline(s), and should not be used as a substitute for the independent professional judgment of healthcare providers. Practice guidelines are unable to account for every individual variation among patients or take the place of clinician judgment, and the ultimate decision concerning the propriety of any course of conduct must be made by healthcare providers aer consideration of each individual patient situation. Guideline Central does not endorse any specific guideline(s) or guideline recommendations and has not independently verified the accuracy hereof. Any use of this resource or any other Guideline Central resources is strictly voluntary. Source Chung MK, Patton KK, Lau C-P, Dal Forno AR, Al-Khatib SM, Arora V, Birgersdotter- Green UM, Cha Y-M, Chung EH, Cronin EM, Curtis AB, Cygankiewicz I, Dandamudi G, Dubin AM, Ensch DP, Glotzer TV, Gold MR, Goldberger ZD, Gopinathannair R, Gorodeski EZ, Gutierrez A, Guzman JC, Huang W, Kron J, Kutyifa V, Link MS, Marine JE, Mullens W, Park S-J, Parkash R, Patete MF, Pathak RK, Perona CA, Rickard J, Schoenfeld MH, Seow S-C, Shen W-K, Shoda M, Singh JP, Slotwiner DJ, Sridhar AR, Srivatsa UN, Stecker EC, Tanawuttiwat T, Tang WH, Tapias CA, Tracy CM, Upadhyay GA, Varma N, Vernooy K, Vijayaraman P, Worsnick SA, Zareba W, Zeitler EP, 2023 HRS/APHRS/ LAHRS Guideline on Cardiac Physiologic Pacing for the Avoidance and Mitigation of Heart Failure. HeartRhythm 2023. is guideline has been copublished in the Journal of Arrhythmia. TEL: 407.878.7606 • FAX: 407.878.7611 Order additional copies at Copyright © 2023 All rights reserved HRSPAC05233 Abbreviations AF, atrial fibrillation; AV, atrioventricular; AVB, atrioventricular block; aVF, augmented Vector Foot; AVJ, atrioventricular junction; aVL, augmented Vector Le; aVR, augmented Vector Right; BBB, bundle branch block; BiV, biventricular; CCTGA, congenitally corrected transposition of the great arteries; CHD, congenital heart disease; CIED, cardiovascular implantable electrical device; cMRI, cardiac magnetic resonance imaging ; COR, class of recommendation; CPP, cardiac physiologic pacing ; CRT, cardiac resynchronization therapy; CRT-D, cardiac resynchronization therapy-defibrillator; CRT-P, cardiac resynchronization therapy-pacemaker; CS, coronary sinus; CSP, conduction system pacing ; CT, computerized tomography; ECG, electrocardiogram; Echo, echocardiogram; GDMT, guideline-directed medical therapy; HBP, His bundle pacing ; HF, heart failure; HFH, heart failure hospitalization; HFimpEF, heart failure with improved ejection fraction; HFrEF, heart failure with reduced ejection fraction; HB, His bundle; HR, hazard ratio; ICD, implantable cardioverter-defibrillator; LBB, le bundle branch; LBBAP, le bundle branch area pacing ; LBBB, le bundle branch block; LBBP, le bundle branch pacing ; LOE, level of evidence; LV, le ventricle/ventricular; LVAT, le ventricular activation time; LVEF, le ventricular ejection fraction; LVESV, le ventricular end-systolic volume; LVESVI, le ventricular end-systolic volume index; ns, nonselective; NYHA, New York Heart Association; PA, posterior-anterior; PICM, pacing-induced cardiomyopathy; PVC, premature ventricular contraction; RBBB, right bundle branch block; RCT, randomized controlled trial; RV, right ventricle/ventricular; RVP, right ventricular pacing ; RWPT, R-wave peak time; SVC, superior vena cava; VO 2 , oxygen uptake; 6MWD, 6-min walk distance

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