What is a key advantage of physiological pacing compared to conventional ventricular pacing?

A key advantage of physiological pacing is that it maintains intrinsic cardiac conduction. This type of pacing primarily aims to mimic the body's natural electrical conduction system, which supports the heart's ability to synchronize contraction and optimize cardiac output. By preserving the normal conduction pathways, physiological pacing can enhance ventricular function and improve hemodynamics compared to conventional ventricular pacing, which directly stimulates the ventricles and can lead to desynchronization between atrial and ventricular contractions.

Maintaining intrinsic conduction is particularly beneficial for patients with heart failure or other cardiac conditions, as it helps to prevent further decline in function associated with loss of natural synchronization. In contrast, conventional ventricular pacing can disrupt the heart's natural rhythm, leading to issues like pacing-induced cardiomyopathy over time.