What can cardiac physiology pacing (CPP) help reduce?

Cardiac physiology pacing (CPP) is a technique designed to more closely mimic the natural conduction system of the heart by utilizing the specialized conduction pathways, which can lead to several benefits. One significant advantage is the reduction of pacemaker-induced cardiomyopathy. This condition can occur over time in patients who have traditional ventricular pacing, resulting in a decline in cardiac function often due to dyssynchronous ventricular contraction. By employing CPP strategies, the pacing can be aligned with the normal electrical signaling of the heart, leading to improved synchrony in contraction and potentially preventing the decline in heart function associated with pacemaker use. This approach not only maintains a more physiological pattern of activation but also ensures better hemodynamic performance, thereby addressing the issue of impaired heart function due to traditional pacing methods.