Advances in Pacemaker Implantation: Past, Present, and Future Challenges

Dear Colleagues,

There has recently been a resurgence of excitement around technologies for cardiac pacing. Since the recognition of the deleterious effects of right ventricular-only pacing, physiologic pacing has rapidly gained traction in the use of traditional transvenous pacing systems, including when cardiac resynchronization therapy is indicated. With some of the early challenges regarding His-bundle pacing, the field has evolved to predominantly left bundle area pacing. Similarly, with the recognition of the negative sequelae of transvenous leads, both acute and chronic, including infection and malfunction requiring lead extraction but also tricuspid regurgitation, leadless pacing has rapidly gained acceptance, especially since the introduction of dual-chamber and atrial leadless pacing. Now, with the potential to marry these two technologies, with the introduction of both physiologic leadless pacing and leadless cardiac resynchronization therapy, the field of cardiac pacing may have the best of all possible worlds and better serve our patient population.

Prof. Dr. Rahul N. Doshi
Guest Editor

Dr. Ankur A. Karnik
Guest Editor Assistant

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