Conduction System Pacing

A healthy heart relies on a well-functioning electrical system to maintain a steady and synchronized rhythm. Conduction System Pacing (CSP) is an advanced pacing technique that mimics the heart’s natural electrical conduction, ensuring more efficient heart function compared to traditional pacemakers. It is particularly beneficial for patients with bradycardia (slow heart rate), heart block, or those needing long-term pacing therapy. At Piyu’s Hriday Sanjeevani Rhythm Clinic, we specialize in Conduction System Pacing, offering a patient-centric approach to restoring normal heart function with the latest medical advancements.

Conventional Pacemaker Implantation

Conventional Pacemaker Implantation is a medical procedure used to treat slow or irregular heartbeats. A pacemaker is a small, battery-powered device placed under the skin near the collarbone. It sends electrical signals to the heart through thin wires (leads) to help it beat at a normal rate. This device ensures a steady heartbeat, reducing symptoms like dizziness, fatigue, and fainting. 

What is Conduction System Pacing?

Unlike conventional pacemakers, which stimulate the heart’s chambers directly, CSP targets the heart’s natural electrical system, specifically the His bundle or left bundle branch. This method allows for a more synchronized and natural heartbeat, reducing complications associated with traditional pacing.

There are two primary types of Conduction System Pacing 

  • His-Bundle Pacing (HBP) – Stimulates the His bundle, the natural electrical bridge between the atria and ventricles.
  • Left Bundle Branch Pacing (LBBP) – Targets the left bundle branch, providing more stable and efficient ventricular activation.

Who Needs Conduction System Pacing?

CSP is recommended for individuals with

  • Bradycardia (Slow Heart Rate) – When the heart beats too slowly, causing fatigue, dizziness, or fainting.
  • Heart Block – A delay or blockage in the electrical signals between the heart’s chambers.
  • Patients Requiring Long-Term Pacing – CSP reduces the risk of complications associated with prolonged pacemaker use such as pacemaker induced cardiomyopathy/ Heart failure.

Step-by-Step Procedure

If your doctor has recommended Conduction System Pacing (CSP), here’s what happens during the procedure:

  • Preparation – You will change into a hospital gown, and the skin near your collarbone will be cleaned. Local anesthesia will be given to numb the area.
  • Small Incision – The doctor makes a small cut near your collarbone to insert the device below the skin.
  • Placing the Lead – A thin wire (lead) is carefully inserted through a vein and positioned directly in your heart’s natural conduction system to improve heartbeat coordination.
  • Connecting the Device – The lead is connected to a small battery-powered pacemaker, which helps regulate your heart’s rhythm. The device is placed under the skin near your collarbone.
  • Testing the Device – The doctor checks if the pacemaker is working properly and adjusting your heart’s rhythm as needed.
  • Closing the Incision – The cut is closed with stitches and covered with a bandage.
  • Recovery – You will be monitored for a few hours or overnight before going home with care instructions.

Benefits of Conduction System Pacing

  • Mimics the Heart’s Natural Rhythm – Provides more physiological heart activation of heart chambers.
  • Prevents Heart Weakening – Reduces the risk of pacing-induced heart failure.
  • Improves Long-Term Heart Function – Enhances the overall efficiency of the heart.
  • Better Quality of Life – Reduces fatigue, breathlessness, and dizziness.

At Piyu’s Hriday Sanjeevani Rhythm Clinic, we are committed to delivering the most advanced cardiac treatments with precision and care. Our expert electrophysiologists specialize in Conduction System Pacing, ensuring a safer and more natural approach to heart rhythm management. If you or a loved one has been recommended for a pacemaker, consult our cardiac specialists today to learn if Conduction System Pacing is the right option for you. Call us now.

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