AUTHOR=Ploneda Valencia Ruy Gonzalo , Levinstein Jacinto Moisés , Sánchez Contreras Carmen A. , Ruiz González Gustavo , Neach de la Vega Diego , Márquez Murillo Manlio F. , Nava Santiago 

TITLE=Case report: Challenges and implications of conduction system pacing in pediatrics: Case series

JOURNAL=Frontiers in Pediatrics

VOLUME=Volume 11 - 2023

YEAR=2023

URL=https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2023.1160335

DOI=10.3389/fped.2023.1160335

ISSN=2296-2360

ABSTRACT=Cardiac electrical stimulation in children usually is needed in the setting of congenital atrioventricular block, after heart surgery, and in some specific channelopathies. In most cases, the percentage of ventricular stimulation is high, so there is concern on the deleterious effects of chronic stimulation of the right ventricle. In recent years, physiologic stimulation has developed as a valid approach for adult patients and a great interest has arisen in offering conduction system pacing also to the pediatric population. We present 3 pediatric cases of stimulation of the conduction system (His bundle or left bundle branch), in order to show the intrinsic particularities and challenges implied in these techniques.