Left Bundle Branch Pacing: How I Do It?

Search for the combined use of LV lead with HBP yielded 2 clinical outcome case studies and one mechanistic study in peer-reviewed journals. One case series reported implantation and follow-up of outcomes in patients who had an inadequate response to HBP with subsequent additional LV lead. Search for the combined use of LV lead with LBBAP yielded two case series studies in non-peer reviewed publications were found. The His-Optimized CRT (HOT-CRT) is a term introduced describing combining HBP with LV pacing. The LB-Optimized CRT (LOT-CRT) is a term recently used to describe combining LBBAP with LV pacing.