Advancements in Cardiac Care: The Role of HIS Bundle Pacing in India

 In the evolving landscape of cardiac electrophysiology, HIS Bundle Pacing (HBP) has emerged as a significant advancement, offering a more physiological approach to cardiac pacing. This technique has garnered attention for its potential to improve patient outcomes, particularly in individuals with specific conduction system diseases. In India, especially in Delhi, several esteemed electrophysiologists are at the forefront of implementing this innovative procedure.

Understanding HIS Bundle Pacing

HIS Bundle Pacing involves the direct delivery of electrical impulses to the HIS bundle, a collection of heart muscle cells specialized for electrical conduction. This method contrasts with traditional right ventricular pacing, which can sometimes lead to dyssynchrony and adverse cardiac remodeling. By targeting the HIS bundle, HBP aims to maintain the heart’s natural electrical activation sequence, promoting synchronized ventricular contraction and preserving cardiac function.

Advantages of HIS Bundle Pacing

The benefits of HIS Bundle Pacing over conventional pacing methods include:

- Preservation of Ventricular Synchrony: By engaging the heart’s natural conduction system, HBP ensures coordinated contraction of the ventricles, reducing the risk of pacing-induced cardiomyopathy.

- Improved Hemodynamic: Patients often experience better cardiac output and overall heart performance due to the maintenance of physiological activation patterns.

- Potential for Heart Failure Prevention: By avoiding dyssynchronous contraction, HBP may lower the likelihood of heart failure development in patients requiring long-term pacing.

Leading Electrophysiologists in Delhi Pioneering HIS Bundle Pacing
Delhi is home to several renowned cardiac electrophysiologists who have been instrumental in adopting and advancing HIS Bundle Pacing:

• Dr. Vanita Arora: s India’s first female electrophysiologist, Dr. Arora has been a pioneer in introducing innovative cardiac procedures, including HIS Bundle Pacing.er extensive experience and dedication to patient care have established her as a leading figure in the field.
• - Dr. Balbir Singh: ith over three decades of experience, Dr. Singh is a reputed cardiologist known for his expertise in electrophysiology and interventional cardiology.e has been at the forefront of implementing advanced pacing techniques, including HBP, to enhance patient outcomes.
• - Dr. T. S. Kler: Padma Bhushan awardee, Dr. Kler is a luminary in cardiology with significant contributions to electrophysiology has been actively involved in adopting HIS Bundle Pacing, reflecting his commitment to advancing cardiac care in India.
  Is HIS Bundle Pacing Right for You?

HIS Bundle Pacing may be considered for patients who:

• enquire pacemaker implantation due to bradyarrhythmia or atrioventricular block.
• have experienced negative effects from traditional right ventricular pacing.
• seek a more physiological pacing method to preserve cardiac function.
  A thorough evaluation by a qualified electrophysiologist is essential to determine the suitability of HBP based on individual medical conditions and lifestyle considerations.

The Procedure: What to Expect

The HIS Bundle Pacing procedure involves:

1. Preparation: he patient undergoes local anesthesia, and a specialized lead is positioned to target the HIS bundle.

2. Lead Placement: sing fluoroscopic guidance, the lead is carefully implanted at the HIS bundle location to ensure optimal electrical conduction.

3. Device Programming: he pacemaker is programmed to deliver impulses that align with the heart’s natural conduction system.

4. Post-Procedure Care: atients are monitored for a brief period and can typically resume normal activities shortly after the procedure.

Conclusion

HIS Bundle Pacing represents a significant advancement in cardiac electrophysiology, offering a more natural and effective approach to pacing. In India, particularly in Delhi, leading electrophysiologists are pioneering this technique, providing patients with access to cutting-edge cardiac care. If you are considering pacemaker therapy, consulting with a specialized electrophysiologist can provide valuable insights into the benefits of HIS Bundle Pacing and its suitability for your condition.

Note: This article is for informational purposes only and should not replace professional medical advice. Consult with a qualified healthcare provider for personalized recommendations.