Optimization of Left Bundle Area Pacing Using a Novel ECG Device

Key teaching points:-A portable reduced-lead ECG can generate a 12-lead ECG -Conduction system pacing can be achieved using reduced-lead ECG device comparable to conventional ECG recording systems -This may democratize conduction system pacing and improve procedural success in settings outside of the EP lab Abbreviations: Electrocardiogram (ECG) Left Bundle Branch (LBB) Left Bundle Branch Area (LBBA) Left Bundle Branch Area Pacing (LBBAP) Electrophysiology (EP) R-Wave Peak Time (RWPT) QRS Duration (QRSD) Conduction System Pacing (CSP) Left Ventricle (LV) Right Ventricle (RV) Left Ventricular Activation Time (LVAT) LA (Left Arm) LL (Left Leg) RA (Right Arm)