Evidence mapPaperPMID 40305203Full record

ReviewBiomolecules2025

The Functional and Imaging Implications of Left Bundle Branch Pacing in Ischemic Cardiomyopathy.

Fulvio Cacciapuoti, Ciro Mauro, Ilaria Caso, Salvatore Crispo, Rossella Gottilla, Valentina Capone, Saverio Ambrosino, Ciro Pirozzi, Orlando Munciguerra, Mario Volpicelli

Abstract readReview
In one paragraph

Review in Biomolecules, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Fulvio CacciapuotiDivision of Cardiology, "A. Cardarelli" Hospital, 80131 Naples, Italy.ORCID 0000-0002-7687-6346
Ciro MauroDivision of Cardiology, "A. Cardarelli" Hospital, 80131 Naples, Italy.
Ilaria CasoDepartment of Cardiology, "V. Monaldi" Hospital, 80131 Naples, Italy.
Salvatore CrispoDivision of Cardiology, "A. Cardarelli" Hospital, 80131 Naples, Italy.
Rossella GottillaDivision of Cardiology, "A. Cardarelli" Hospital, 80131 Naples, Italy.
Valentina CaponeDivision of Cardiology, "A. Cardarelli" Hospital, 80131 Naples, Italy.
Saverio AmbrosinoDepartment of Cardiology, "Santa Maria della Pietà" Hospital, 80035 Naples, Italy.
Ciro PirozziDepartment of Cardiology, "Santa Maria della Pietà" Hospital, 80035 Naples, Italy.
Orlando MunciguerraDepartment of Cardiology, "Santa Maria della Pietà" Hospital, 80035 Naples, Italy.
Mario VolpicelliDepartment of Cardiology, "Santa Maria della Pietà" Hospital, 80035 Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heart failure with reduced ejection fraction due to ischemic cardiomyopathy remains a significant clinical challenge. Electrical conduction delays exacerbate symptoms by causing uncoordinated contractions, reducing pumping efficiency, and increasing mortality. Right ventricular pacing further worsens dyssynchrony, while resynchronization therapy improves outcomes but has a high non-responder rate. Given these limitations, bundle branch pacing engages the heart's conduction system, restoring synchronized contraction and enhancing cardiac function. This review examines the impact of left-bundle-branch-block-induced dyssynchrony, the role of advanced imaging in assessing ventricular function, and the clinical outcomes of bundle branch pacing in heart failure patients. Specifically, we explore the mechanical and hemodynamic effects of left bundle branch block, imaging techniques for dyssynchrony evaluation, and the comparative benefits of bundle branch pacing versus resynchronization therapy. Conduction delays impair function, increase myocardial stress, and worsen clinical outcomes. Advanced imaging plays a critical role in patient selection, identifying those most likely to benefit from conduction system pacing. By restoring electrical coordination, bundle branch pacing enhances ventricular function, reduces hospitalizations, and promotes reverse remodeling. It offers similar or superior benefits to conventional resynchronization therapy, regulates stress hormones, reduces oxidative damage, and improves calcium handling. Bundle branch pacing represents a significant advancement in heart failure management, but careful patient selection remains crucial. Future research should focus on optimizing implantation techniques and validating long-term benefits through large-scale clinical trials.

Indexed as

Bundle-Branch BlockCardiac Pacing, ArtificialCardiomyopathiesMyocardial IschemiaCardiac Resynchronization TherapyHeart FailureHumansbundle branch pacing (BBP)cardiac resyncronization therapy (CRT)heart failure with reduced ejection fraction (HFrEF)ischemic cardiomyopathy

Identifiers

PMID40305203
PMCPMC12024876

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.