13 Agustus 2026
Advancing cardiac pacing through conduction system pacing, from its basis and clinical indications to emerging experienc...
The Paris Room hosted the workshop “Physiological Pacing Beyond Right Ventricles,” led by Course Director Anggia Chairuddin Lubis, MD, exploring how advances in cardiac pacing are increasingly focused on preserving the heart’s native conduction and achieving more physiological ventricular activation.
The scientific program began with Tommy Daindes, MD, PhD, presenting “Atrial and Ventricular Conduction Physiology and Relevant Electro-Anatomy.” The session established the anatomical and physiological basis of Conduction System Pacing (CSP), highlighting its potential as an alternative to Conventional Right Ventricular pacing in selected patients with AV block and as an option for patients with Reduced Left Ventricular Ejection Fraction (LVEF).
The evolution of pacing technology was then presented by Haikal, MD, through “Evolution of Cardiac Pacing System: Epicardial, RV Pacing, CRT, HBP, LBBAP, LOT-CRT, Bachmann Bundle Pacing.” The presentation traced the progression from early pacing systems to contemporary techniques designed to achieve more physiological cardiac activation.
Clinical decision-making took greater focus in the subsequent sessions. Tommy Daindes, MD, PhD, discussed “When to Consider CSP in Bradycardia Patients?”, emphasizing the relevance of anticipated ventricular pacing burden and reduced or mildly reduced LVEF when considering CSP. Haikal, MD, followed with “Conduction System Pacing Evidences in Heart Failure Patients,” comparing Cardiac Resynchronization Therapy (CRT), CSP, Left Bundle Branch Area Pacing (LBBAP), and Deep Septal Pacing (DSP), particularly in how each approach influences ventricular activation.
The workshop concluded with a look at the growing application of CSP in Indonesia. In “Conduction System Pacing in Indonesia,” Anggia Chairuddin Lubis, MD, presented local case reports and early clinical experience, including a single-center case series on left bundle branch pacing using a lumenless lead.
Taken together, the workshop highlighted the ongoing transition from conventional pacing toward approaches that better preserve physiological conduction, while demonstrating the emergence of CSP as an increasingly relevant strategy in contemporary cardiac electrophysiology.
