Upgrading right ventricular pacing to left bundle branch area pacing in pacemaker-induced cardiomyopathy: a systematic review and meta-analysis
Chronic right ventricular pacing (RVP) causes pacemaker-induced cardiomyopathy (PICM) in 10–20% of patients. Left bundle branch area pacing (LBBAP) restores His-Purkinje activation and offers an alternative upgrade strategy; however, no formal pooled analysis comparing LBBAP versus biventricular pacing (BiVP) exi...