OVERVIEW

The 7th Annual Physiology of Pacing Symposium 2023 is designed to provide clinicians with an in-depth understanding of current methods and strategies to optimize physiological pacing of the heart. This one-day symposium will focus on conduction system pacing (CSP) approaches including His-bundle Pacing (HBP), left bundle branch area pacing (LBBAP), and left ventricular septal pacing (LVSP), which are evolving pacing modalities that have the most potential to achieve electrical excitation of the heart through the normal specialized conduction system. Participants will review the history and relevant anatomy of the conduction system with regard to HBP/LBBAP/LVSP, with particular educational emphasis on tips and methods for successful implantation.  The program will then serve to provide an overview of clinical applications that have been established and are currently being evaluated through clinical trials. Comparative clinical and/or surgical strategies to achieve cardiac resynchronization through leadless technology, multisite pacing, and left ventricular (LV) endocardial pacing will be highlighted as well, with emphasis of physiologic considerations.

TARGET AUDEINCE

This educational activity is designed for electrophysiologists, but also open for general cardiologists and electrophysiology fellows in training.

LEARNING OBJECTIVES

Upon completion of this activity, participants will be able to:

• Discuss the evolving role of conduction system pacing (CSP) pacing for standard permanent pacing as well as for cardiac resynchronization.
• Describe challenges and methods for implantation technique of permanent His-bundle pacing (HBP), left bundle branch area pacing (LBBAP), and left ventricular septal pacing (LVSP)
• Review the relationship between electrical stimulation of the heart with mechanics of myocardial contraction.
• Review history and recent advances of CSP and emerging clinical situations and applications in the setting of narrow and wide QRS morphology patients.
• Review the relevant anatomy of the membranous septum conduction system with relation to the right atrium, tricuspid valve, and ventricular septum.
• Summarize strategies and clinical evidence for the various approaches to achieve cardiac resynchronization including leadless technology, multisite pacing, and left ventricular (LV) endocardial pacing.
• Outline approaches to complications during implant procedures for CSP.
• Discuss approaches for remote monitoring and optimization of CSP and CRT systems.

ACCREDITATION

The Academy for Continued Healthcare Learning is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Academy for Continued Healthcare Learning designates this live activity for a maximum of 9.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

For more information please visit the official event page.