
doi: 10.48321/d1405c231b
Left bundle branch area pacing (LBBAP) represents an important pacing modality introduced to avoid the deleterious effects of non-physiologic ventricular activation during chronic right ventricular pacing and/or left bundle branch block. LBBAP induces right ventricular electrical activation delay. The impact of LBBAP on right ventricular stroke volume reserve, exercise capacity, and left ventricular ejection fraction during exercise has not yet been assessed. This study aims to assess the impact of LBBAP on right ventricular stroke volume reserve (during exercise), left ventricular ejection fraction augmentation (during exercise), and exercise capacity utilizing a novel P-synchronous exercise cardiovascular magnetic resonance protocol and cardiopulmonary exercise testing.
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