Left Bundle Branch Area Pacing in a Pediatric Patient

Physiological Pacing in a Pediatric Patient

Abstract

Historically, addressing symptomatic bradyarrhythmia has often involved pacing in the right ventricle. Numerous studies consistently show adverse effects linked to chronic right ventricular pacing. Recent research suggests that employing left bundle branch area pacing (LBBAP) could serve as a viable alternative, especially for pediatric patients. This innovative procedure holds promise in preventing pacing-induced cardiomyopathy in this specific demographic. The presented case report outlines the application of LBBAP in a 15-year-old patient diagnosed with congenital complete heart block. The rationale for choosing this physiological pacing strategy is rooted in its potential to achieve synchronized ventricular contractions, thereby mitigating the detrimental consequences associated with right ventricular pacing.