Practical Septal Pacing for Atrioventricular Block ― A Simplified Septal Strategy With Stable Thresholds Compared With His Bundle Pacing ―

Circulation Reports 2026 Open access

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Authors: Shun Takeuchi, Rie Aoyama, Takashi Uchiyama, Tomohiko Hayashi, Shinichi Okino, Shigeru Fukuzawa
DOI: 10.1253/circrep.cr-26-0040
Cited by: 1
References: 5

Abstract

Background: His bundle pacing (HBP) preserves physiological pacing in atrioventricular block (AVB) but may have unstable thresholds. We evaluated practical septal pacing (PSP) for AVB. Methods and Results: We studied 92 AVB patients (41 HBP, 51 PSP). PSP was finalized at the narrowest attainable pQRSd with acceptable pacing parameters. Implant pQRSd was similar, while PSP had lower thresholds (0.5 vs. 1.0V; P

Fields of Study & Subjects

Cardiac pacing and defibrillation studies Cardiac Arrhythmias and Treatments Cardiovascular Syncope and Autonomic Disorders

Publication details

Journal / source
Circulation Reports
Publisher
Japanese Circulation Society
Volume
8
Issue
6
Pages
1008–1010
Publication date
1 April 2026
Language
EN