What is the main goal of conduction system pacing?

The primary objective of conduction system pacing is to establish normal pacing within the heart by using the specialized electrical pathways of the conduction system, such as the His bundle or the left bundle branch. This method aims to create a more physiologically normal activation of the ventricles, which can lead to improved cardiac function compared to traditional pacing methods that might not effectively reestablish the natural sequence of electrical conduction.

By integrating with the heart's native conduction system, conduction system pacing reduces dependence on more conventional pacing techniques that can have limitations, such as the risk of ventricular dyssynchrony and adverse effects on cardiac function. As a result, this technique often enhances the quality of pacing and may provide better outcomes for patients with certain types of heart block or other conduction abnormalities.

While increasing heart rate, monitoring heart function, and improving lead longevity are all important considerations in the overall management of patients needing pacing, they do not capture the essence of what conduction system pacing specifically seeks to achieve. The focus is primarily on re-establishing a normal conduction pathway and synchronizing ventricular contractions, thus enhancing overall cardiac efficiency and patient outcomes.