Journal of Innovation in Cardiac Rhythm Management
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Introduction
The Annual International Physiology of Pacing Symposium is a gathering of world-renowned faculty who delve into the latest methods and strategies for optimizing the physiological pacing of the heart. This one-day CME-accredited symposium focuses on cutting-edge conduction system pacing (CSP) approaches, including His-bundle Pacing (HBP), left bundle branch area pacing (LBBAP), and left ventricular septal pacing (LVSP). These evolving pacing modalities hold immense potential to achieve electrical excitation of the heart through the normal specialized conduction system.

By participating in the symposium, clinicians will gain a comprehensive understanding of the history and relevant anatomy of the conduction system, particularly about HBP/LBBAP/LVSP, and also practical knowledge that can be immediately applied in their clinical practice. The program also provides an overview of established clinical applications and ongoing clinical trials, equipping clinicians with the latest advancements in the field and empowering them to enhance their patient care.

We look forward to your attendance at next year’s 9th Annual International Physiology of Pacing Symposium will be held on October 24-25, 2025, in Phoenix, Arizona. As a hybrid conference, attendees can attend the symposium virtually or as a traditional in-person event.

 

On-Demand 2024

Welcome to Physiology of Pacing On-Demand Library
We are pleased to provide complimentary and unlimited access to the On-Demand Archive of each Session from the 8th Annual International Physiology of Pacing Symposium, which was held at the Crystal Gateway Marriott in Arlington, Virginia, October 25, 2024 and simultaneously broadcast as a real-time live stream.

Agenda

Welcome and Introductions

Session I
Anatomy and Physiology of the Conduction System

Chairs: Kenneth Ellenbogen, MD and Roderick Tung, MD

3-D Anatomy of the Conduction System
Kalyanam Shivkumar, MD, PhD

3-D Activation Assessment in Conduction System Pacing vs. BVP – Comparing HBP, LBBP, LVSP, and BVP
Zachary Whinnett, MD

R-Wave Peak Times in lateral leads (V5, V6, aVL): Relevance to Conduction System Capture and Site of Pacing
Marek Jastrzebski, MD

Hemodynamics of LBBP vs. LVSP: Does LBB Capture Matter?
Justin Luermans, MD

Hemodynamics of Biventricular Pacing – Endocardial vs. Epicardial Pacing: Learnings from Wise-CRT
Vivek Reddy, MD

Panel Discussion: “How Does Pacing Site Impact Electrical Activation Pattern and Hemodynamics?”

Session II
Live Cases: Bradycardia

Moderator: Pugazhendhi Vijayaraman, MD
Panelists: Parikshit Sharma, MD, and Weijian Huang, MD

Live Case: Conduction System Pacing in Bradycardia
Live Case Site: Geisinger Medical Center
Live Case Operators: Jess Oren, MD, and Faiz Subzposh, MD

Live Case: LBBP in Bradycardia
Live Case Site: Hospital of the University of Pennsylvania
Live Case Operator: Robert Schaller, DO and Colleagues

Session III
Physiologic Pacing in Bradycardia

Chairs: Gopi Dandamudi, MD and Gaurav Upadhyay, MD

HBP for Bradycardia Pacing: When and Why Would You Use?
Haran Burri, MD

Continuous Pacing to Facilitate Left Bundle Branch Capture Assessment During LBBAP
Marek Jastrzebski, MD

Reducing the Risk of Pacing Induced Cardiomyopathy – Rationale for BVP vs. CSP vs. RVP for Patients with Advanced AV Block
Suneet Mittal, MD

LBBAP (LBBP vs. LVSP) in AV Block: Implications for Pacing-Induced Cardiomyopathy?
Gopi Dandamudi, MD

UHF-ECG and Lessons Learned Regarding LV Synchrony
Kevin Vernooy, MD, PhD

Panel Discussion: CSP vs. RVP vs. BVP in Narrow QRS Patients with AV Block

Session IV
Physiologic Pacing and Cardiac Resynchronization Therapy I

Chairs: Pugazhendhi Vijayaraman, MD, and Kenneth Ellenbogen, MD

Irregulapathy: Rationale for AVN Ablation and CSP
Jacqueline Joza, MD

Left Ventricular Fusion Pacing Algorithms and/or AV Optimization to Improve CRT Response?
Michael Gold, MD

When Should CSP Be the First-Line Therapy for CRT and Why?
Parikshit Sharma, MD

Confirming LBB Capture During CRT: Limitations of Current Criteria
Pugazhendhi Vijayaraman, MD

MRI for Selection of Optimal CRT in Patients with LBBB-Associated/Induced Cardiomyopathy
Shunmuga Sundaram Ponnusamy, MD

Leadless Pacing: Dual chamber to CSP - Aveir DR, Micra AV2, Revolution, Wise-CRT or Newer Tools - Implications for CSP
Vivek Reddy, MD

Device Therapy for RBBB and Heart Failure: What Should We Do?
Valentina Kutyifa, MD

Panel Discussion: CSP vs. BVP in CRT

Session V
Live Cases: CRT

Moderators: Pugazhendhi Vijayaraman, MD, Kenneth Ellenbogen, MD, and Roderick Tung, MD

Pre-Live Case Presentation
Towards Novel Insights in Left Bundle Pacing: Cardiac Imaging Integration
Ajay Pillai, MD

Live Case: CSP using Lumenless Lead for CRT
Live Case Site: Geisinger Medical Center
Live Case Operators: Atiqa Batul, MD, and Jess Oren, MD

Live Case: CSP Using Stylet-Driven Lead for CRT  
Live Case Site: Hospital of the University of Pennsylvania
Live Case Operator: Robert Schaller, DO and Colleagues

Session VI
Physiologic Pacing and Cardiac Resynchronization Therapy II

Chairs: Gopi Dandamudi, MD, and Mina Chung, MD

Optimizing CRT in RBBB Patients: Role for CSP
Roderick Tung, MD

IVCD or LBBB or Mixed Conduction Disease: Musings from ECG, HBP, Left Septal Mapping
Gaurav Upadhyay, MD

CRT in IVCD – Rationale for HOT/LOT CRT or BVP
Haran Burri, MD

CSP: Implications and Potential for Arrhythmia Prevention
Bengt Herweg, MD

LBBP vs. LVSP for CRT in LBBB – How Important is Conduction System Capture?
Weijian Huang, MD  

Stylet Driven Leads for CRT – Evidence, advantages and Limitations
Francesco Zanon, MD

Panel Discussion: LBBAP and Limitations

Session VII
Novel CIED Options for Heart Failure

Chairs: Roderick Tung, MD, and Valentina Kutyifa, MD, PhD

Bachmann’s Bundle Pacing: How to Perform and Rationale for Prevention of AF
Daniel Lustgarten, MD

Heart Failure with Preserved Ejection Fraction: MyPace and Beyond
Markus Meyer, MD, PhD 

Cardiac Contractility Modulation (CCM) – Where Do We Stand in 2024?
Niraj Varma, MD, PhD 

Autonomic Neuromodulation for Heart Failure
Gaurav Upadhyay, MD

Device selection for treatment of HF: What do the HRS Guidelines Recommend?
Mina Chung, MD     

Panel Discussion

Session VIII
Durability, Follow-Up, and Trial Updates

Chairs: Jacqueline Joza, MD, and Parikshit Sharma, MD

Remote Monitoring and Use of Cloud-Based Providers for CIED Follow-Up – How to Maximize RM for CSP?
Suneet Mittal, MD

Lead Failure in LBBAP: (Loss of Conduction Capture, Lead Fracture, etc.) Evidence and Bench Testing
Parikshit Sharma, MD

Pearls for Follow-Up for CSP Devices
Haran Buri, MD

Ongoing CSP Trials
Mihail Chelu, MD, PhD 

New Science Abstract Presentations
Chairs: Kenneth Ellenbogen, MD, and Pugazhendhi Vijayaraman, MD

Global R-wave Peak Time (RWPT) Is More Diagnostically Accurate Than V6 RWPT and Insensitive to Variations in Paced QRS Morphology and Axis
Grzegorz Kielbasa, MD
First Department of Cardiology, Interventional Electrocardiology and Hypertension, Jagiellonian University Medical College, Kraków, Poland 

LOCAlizaTion and Clinical CorrElation of Left Bundle Branch Pacing lead (LOCATE LBBP) – Insights from a Computed Tomographic Angiography Study
Shunmuga Sundaram Ponnusamy, MD, DM
Velammal Medical College Hospital and Research Institute, Madurai, India

Predictors of Efficacy of His Bundle Pacing: A Stratified Analysis of the HOPE-HF RCT
Nandita Kaza, MBChB
Imperial College London, London, United Kingdom


Partner Institutions

Geisinger health Logo UChicago Medicine Logo VCU Health Logo
Prisma Health Logo Collage of Medicine Phoenix Logol vector

Co-Sponsor

HRS Synchrony Logo

 

Faculty

Course Directors

Gopi Dandamudi MD

Gopi Dandamudi, MD
Prisma Health
Greenville, SC

Kenneth Ellenbogen MD

Kenneth Ellenbogen, MD
VCU School of Medicine
Richmond, VA

Roderick Tung MD

Roderick Tung, MD
Banner University Medical Center- Phoenix
Phoenix, AZ

Gaurav Upadhyay MD

Gaurav Upadhyay, MD
The University of Chicago Medicine
Chicago, IL

Pugazhendhi Vijayaraman MD

Pugazhendhi Vijayaraman, MD
Geisinger Wyoming Valley Medical Center
Danville, PA

Faculty

Atiqa Batul, MD
Geisinger Medical Center
Danville, PA

Haran Burri, MD
University Hospital of Geneva
Geneva, Switzerland

Mihail Chelu, MD, PhD
Baylor College of Medicine
Houston, TX

Mina Chung, MD
Cleveland Clinic
Cleveland, OH

Michael Gold, MD, PhD
Medical University of South Carolina
Charleston, SC

Bengt Herweg, MD
University of South Florida Morsani College of Medicine
Tampa, FL

Weijian Huang, MD
The First Affiliated Hospital of Wenzhou Medical University
Wenzhou, China

Marek Jastrzebski, MD
Jagiellonian University Hospital
Krakow, Poland

Jacqueline Joza, MD
McGill University Health Centre
Montreal, Québec, Canada

Valentina Kutyifa, MD, PhD
University of Rochester
Rochester, NY

Justin Luermans, MD
Maastricht University Medical Center
Maastricht, The Netherlands

Daniel Lustgarten, MD
University of Vermont Medical Center
Burlington, VT

Markus Meyer, MD, PhD
Lillehei Heart Institute, University of Minnesota
Minneapolis, MN

 

 

 

Suneet Mittal, MD
Valley Health System
Ridgewood, NJ

Jess Oren, MD
Geisinger Medical Center
Danville, PA

Shunmuga Sundaram Ponnusamy, MD
Velammal Medical College Hospital and Research Institute
Madurai, India

Vivek Reddy, MD
The Mount Sinai Hospital
New York, NY

Ajay Pillai, MD
VCU School of Medicine
Richmond, VA

Robert Schaller, DO
Hospital of the University of Pennsylvania
Philadelphia, PA

Parikshit Sharma, MD
Rush University Medical Center
Chicago, IL

Kalyanam Shivkumar, MD, PhD
UCLA Cardiac Arrhythmia Center
Los Angeles, CA

Faiz Subzposh, MD
Geisinger Medical Center
Danville, PA

Niraj Varma, MD, PhD
Cleveland Clinic
Cleveland, OH

Kevin Vernooy, MD, PhD
Maastricht University Medical Center
Maastricht, The Netherlands

Zachary Whinnett, MD
CA Healthcare UK
Imperial College NHS Trust
London, United Kingdom

Francesco Zanon, MD
Santa Maria della Misericordia Hospital
Rovigo, Italy

CME Accreditation

CME Credits are now available to be claimed for attendance to the 8th Annual International Physiology of Pacing Symposium. 1 CME Certificate is supplied electronically for the cumulative credits earned commensurate with the extent of participation in the activity upon completing the online CME form.

Target Audience
This educational activity is designed for electrophysiologists, general cardiologists, electrophysiology fellows in training, and allied healthcare professionals.

Learning Objectives
Upon completion of this educational activity, participants will be able to:

  • Discuss the evolving role of conduction system pacing (CSP) for standard permanent pacing and cardiac resynchronization.
  • Describe challenges and methods for implantation technique of permanent His-bundle pacing (HBP), left bundle branch area pacing (LBBAP), and left ventricular septal pacing (LVSP)
  • Review the relationship between electrical stimulation of the heart and the mechanics of myocardial contraction.
  • Review the history and recent advances of CSP and emerging clinical situations and applications in patients with narrow and wide QRS morphology.
  • Review the anatomy of the membranous septum conduction system concerning the right atrium, tricuspid valve, and ventricular septum.
  • Summarize strategies and clinical evidence for the various approaches to achieve cardiac resynchronization, including leadless technology, multisite pacing, and left ventricular (LV) endocardial pacing.
  • Outline approaches to complications during implant procedures for CSP.
  • Discuss approaches for remote monitoring and optimization of CSP and CRT systems. 

Accreditation Statement
Jointly Accredited Provider TMMediaSphere Medical and Ciné-Med have planned and implemented this activity to improve patient care. Ciné-Med is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Ciné-Med designates this educational activity for a maximum of 9.5 AMA PRA CATEGORY 1 Credit(s)™.
Physicians should only claim credit commensurate with the extent of their participation in the activity.

Ciné-Med designates this activity for 9.5 Contact Hours for Nurses.


Claiming Credits
The 8th Annual International Physiology of Pacing Symposium is CME-accredited for onsite and virtual attendees. Physicians may claim CME Credits or Contact Hours for Nurses directly on this webpage at the conference's conclusion. 1 CME Certificate is supplied electronically for the cumulative credits earned commensurate with the extent of participation in the activity.

Disclosure Policy
MediaSphere Medical and Ciné-Med adhere to accreditation requirements concerning industry support of continuing medical education. Speakers must openly disclose any data limitations and/or discuss any off-label, experimental, or investigational uses of drugs or devices in their presentations. Speakers will disclose any relationships at the beginning of their presentations.

All MediaSphere Medical and Ciné-Med employees in content control have indicated that they have no relevant financial relationships to disclose.

MediaSphere Medical and Ciné-Med policy is to ensure balance, independent objectivity, and scientific rigor in all supported educational programs. All faculty members participating in academic activities must disclose to the program audience any real or apparent conflicts of interest held within the past 12 months.

MediaSphere Medical and Ciné-Med implement a mechanism to identify and resolve all conflicts of interest before delivering the educational activity to learners.

Non-Endorsement Statement
MediaSphere Medical and Ciné-Med verify that sound education principles have been demonstrated in developing this educational offering, as evidenced by reviewing its objectives, teaching plan, faculty, and activity evaluation process. MediaSphere Medical and Ciné-Med do not endorse or support the actual opinions or material content presented by the speaker(s) and sponsoring organization.


Commercial Support
The Conference is partially funded through educational grants and sponsorships from multiple companies. Recognition of support is provided on the Industry Partners webpage and will be announced during the conference.

Joint Providership:
MediaSphere Medical, LLC and Ciné-Med

 

Industry Partners

 

 

2024 Industry Partners

 

Partners In Educational Advancements   

The generous support of our industry colleagues makes the 8th Annual International Physiology of Pacing Symposium possible.

Educational Grantors
We gratefully acknowledge our industry partners for their significant and generous educational grant support, which profoundly impacts education.

Medtronic • Boston Scientific • Abbott • Biotronik

Impulse Dynamics • CVRx • Murj

Thank you to our Sponsors!

Platinum
Boston Scientific • Murj 

Gold
Abbott • PaceMate

Benefactor
CV Remote Solutions • EBR Systems Inc. • Zoll

Thank you to our Exhibitors!

Abbott

Biotronik

Boston Scientific

Zio by iRhythm

Murj

PaceMate

ZOLL

 

Partner Institutions
The Summit is supported through educational grants from:

Geisinger health Logo UChicago Medicine Logo VCU Health Logo
Prisma Health Logo Collage of Medicine Phoenix Logol vector

 

Co-Sponsor

 HRS Synchrony Logo