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Beyond CRT: LBBAP and the New Era of Physiological Pacing — Promise and Pitfalls: EP Edge Newsletter October 2025 Issue 5

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Manage episode 515953494 series 3698063
Content provided by Niraj Sharma and Niraj Sharma MD FACC FHRS. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Niraj Sharma and Niraj Sharma MD FACC FHRS or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

In this episode of EP Edge Podcast, Dr. Niraj Sharma dives deep into the clinical promise and procedural realities of LBBAP:

  • Clinical advantages: improved LVEF, narrower QRS, lower VT/VF and AF incidence.
  • RV protection: reduced risk of pacing-induced cardiomyopathy.
  • Sex-specific outcomes: women with NICM + LBBB derive greater benefit.
  • Complications: lead fracture, TR progression, microperforations, and capture failure.
  • Future directions: integrating imaging, refining technique, and advancing lead technology

This is where physiology meets precision—and where CRT is being redefined.

For: Source data/infographics see EPEDGE Newsletter on LinkedIn
For feedback, collaborations, or questions, email Dr. Niraj Sharma at [email protected] or connect on LinkedIn

  continue reading

6 episodes

Artwork
iconShare
 
Manage episode 515953494 series 3698063
Content provided by Niraj Sharma and Niraj Sharma MD FACC FHRS. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Niraj Sharma and Niraj Sharma MD FACC FHRS or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

In this episode of EP Edge Podcast, Dr. Niraj Sharma dives deep into the clinical promise and procedural realities of LBBAP:

  • Clinical advantages: improved LVEF, narrower QRS, lower VT/VF and AF incidence.
  • RV protection: reduced risk of pacing-induced cardiomyopathy.
  • Sex-specific outcomes: women with NICM + LBBB derive greater benefit.
  • Complications: lead fracture, TR progression, microperforations, and capture failure.
  • Future directions: integrating imaging, refining technique, and advancing lead technology

This is where physiology meets precision—and where CRT is being redefined.

For: Source data/infographics see EPEDGE Newsletter on LinkedIn
For feedback, collaborations, or questions, email Dr. Niraj Sharma at [email protected] or connect on LinkedIn

  continue reading

6 episodes

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