7th Annual International Physiology of Pacing Symposium 2023
Registration is closed for this activity.
- Discuss the evolving role of conduction system pacing (CSP) pacing for standard permanent pacing as well as for cardiac resynchronization.
- Describe challenges and methods for implantation technique of permanent His-bundle pacing (HBP), left bundle branch area pacing (LBBAP), and left ventricular septal pacing (LVSP)
- Review the relationship between electrical stimulation of the heart with mechanics of myocardial contraction.
- Review history and recent advances of CSP and emerging clinical situations and applications in the setting of narrow and wide QRS morphology patients.
- Review the relevant anatomy of the membranous septum conduction system with relation to the right atrium, tricuspid valve, and ventricular septum.
- Summarize strategies and clinical evidence for the various approaches to achieve cardiac resynchronization including leadless technology, multisite pacing, and left ventricular (LV) endocardial pacing.
- Outline approaches to complications during implant procedures for CSP.
- Discuss approaches for remote monitoring and optimization of CSP and CRT systems.
Anatomy and Physiology of the Conduction System
7:30 AM New Imaging Techniques of Conduction System Anatomy - Kalyanam Shivkumar
7:45 AM Noninvasive Activation Patterns in Conduction System Pacing—Comparing HBP and LBBAP - Zachary Whinnett
8:00 AM Comparative LVAT Between Stimulation Sites—HBP, LBBAP, and LVSP - Margarida Pujol-Lopez
8:15 AM Hemodynamics of site stimulation: comparing HBP, LBBAP, and LVSP - Fritz Prinzen
8:30 AM Panel Discussion: “How does pacing site impact electrical activation pattern and hemodynamics?” Chairs: Ken Ellenbogen and Roderick Tung
Physiologic Pacing in Narrow QRS
8:45 AM HBP as for Bradycardia Pacing: First line or bailout for LBBAP? - Gopi Dandamudi
8:55 AM LBBP versus LV Septal Pacing for Bradycardia Indications: Are their differences in outcomes? - Kevin Vernooy
9:05 AM Methods and Maneuvers to Identify Conduction System Capture during LBBAP - Marek Jastrzebski
9:20 AM Biventricular pacing in AV Block: Which populations derive benefit? - Anne Curtis
9:30 AM UHF-ECG and patterns of activation in pacing: comparing sites of RVP and CSP - Karol Curila
9:45 AM Reducing the risk of pacing induced cardiomyopathy—Choosing between BiV vs CSP for patients with advanced AV block - Suneet Mittal
9:55 AM Panel Discussion: “How should we approach BiV vs CSP in narrow QRS patients with AV block and normal or moderately reduced LVEF?” Chairs: Mina Chung and Gaurav Upadhyay
10:15 AM Break
Physiologic Pacing and Wide QRS
Right Bundle Branch Block & Intraventricular Conduction Delay
10:30 AM CSP after for chronically paced patients and after AVN ablation - Jacqueline Joza
10:40 AM Device selection for non-LBBB: What do the new HRS Guidelines Recommend? - Mina Chung
10:50 AM Optimizing CRT in non-LBBB Patients: Lead Targeting, QLV, and role of Adaptive Algorithms - Valentina Kutyifa
11:00 AM Beyond Pacing for CRT Non-Response: How do we use Barostim, cardiac contractility modulation (CCM), and AI to improve outcomes? - Jagmeet Singh
11:15 AM What is the role of CSP in IVCD? Pugal Vijayaraman
11:25 AM LBBB associated cardiomyopathy: CRT-P or CRT-D? SS Ponnusamy
11:45 PM Panel Discussion: “What is the best approach to manage RBB and IVCD patients?” - Chairs: Gopi Dandamudi and Jeanne Poole
12:15 PM Lunch with “How-to” Recorded Cases: Ponnusamy (LBBAP for CRT), Herweg (HOT-CRT/LOT-CRT and Cardiac Memory), Jastrzebski (LBBAP with stylet driven leads)
Left Bundle Branch Block
1:00 PM BiVP in LBBB—What do the trials tell us and how should we deliver leads? - Jeanne Pool
1:10 PM Thinking out of the box for HF: Sex height and LV size on selecting pacing prescription (CRT, LBBAP and CCM) - Niraj Varma
1:25 PM LBBAP for CRT in LBBB—Pearls for Implant Success - Parik Sharma
1:35 PM LB Pacing- Huang 2- lead Technique and Defining Conduction System Capture - Weijian Huang
1:50 PM Comparing outcomes between HBP, LBBAP, and BiV in CRT—gaps in present work and questions for future trials - Michael Gold
2:00 PM Returning to the surface ECG—Assessing Level of Block to Inform Device Selection - Gaurav Upadhyay
2:15 PM Determinants of QRS Characteristics during LBBAP: Width or LVAT - Roderick Tung
2:30 PM Panel Discussion: “How best to utilize identify populations and procedures for CRT in LBBB?” Ken Ellenbogen and Pugal Vijayaraman
2:45 PM Break
Durability, Follow-Up, and New Approaches
3:00 PM Physiological Pacing for HFpEF - Daniel Lustgarten
3:15 PM New Tools, Stylet- Driven Leads for CSP - Francesco Zanon
3:25 PM New data from stylet-driven registries - Pugal Vijayraman
3:35 PM Complications of CSP and How to avoid them - Atiqa Batul
3:45 PM New developments in Leadless Pacing - Mikhael El-Chami
4:00 PM Extraction tips and tricks for CPS - Robert Schaller
4:10 PM Pearls for Follow-Up for SCP Devices - Haran Buri
4:20 PM Remote monitoring and use of cloud-based providers for CSP - Atul Verma
4:30 PM Debate: Where do we go in future trials?
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Executive Medical Director
Center for Cardiovascular Health
Virginia Mason Franciscan Health
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