How does conduction system pacing differ from traditional pacing?

Conduction system pacing is a modern approach that specifically targets the heart's intrinsic conduction pathways, such as the His bundle or the Purkinje fibers, rather than simply placing pacing leads in the right ventricle. This strategy is designed to improve the synchronization of the heart's contractions and promote a more physiological electrical activation of the ventricles. By pacing at these strategic locations within the conduction system, the heart can maintain a more natural rhythm and improve overall cardiac function.

The emphasis on targeting specific areas within the conduction pathway helps preserve the normal sequence of ventricular activation, which is often disrupted in patients requiring traditional pacing. This method leads to better outcomes and less reliance on more generalized pacing techniques that might not replicate the heart's natural electrical conduction as effectively.