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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 |
3-D Anatomy of the Conduction System |
3-D Activation Assessment in Conduction System Pacing vs. BVP – Comparing HBP, LBBP, LVSP, and BVP |
R-Wave Peak Times in lateral leads (V5, V6, aVL): Relevance to Conduction System Capture and Site of Pacing |
Hemodynamics of LBBP vs. LVSP: Does LBB Capture Matter? |
Hemodynamics of Biventricular Pacing – Endocardial vs. Epicardial Pacing: Learnings from Wise-CRT |
Panel Discussion: “How Does Pacing Site Impact Electrical Activation Pattern and Hemodynamics?” |
Session II Live Case: Conduction System Pacing in Bradycardia Live Case: LBBP in Bradycardia |
Session III |
HBP for Bradycardia Pacing: When and Why Would You Use? |
Continuous Pacing to Facilitate Left Bundle Branch Capture Assessment During LBBAP |
Reducing the Risk of Pacing Induced Cardiomyopathy – Rationale for BVP vs. CSP vs. RVP for Patients with Advanced AV Block |
LBBAP (LBBP vs. LVSP) in AV Block: Implications for Pacing-Induced Cardiomyopathy? |
UHF-ECG and Lessons Learned Regarding LV Synchrony |
Panel Discussion: CSP vs. RVP vs. BVP in Narrow QRS Patients with AV Block |
Session IV |
Irregulapathy: Rationale for AVN Ablation and CSP |
Left Ventricular Fusion Pacing Algorithms and/or AV Optimization to Improve CRT Response? |
When Should CSP Be the First-Line Therapy for CRT and Why? |
Confirming LBB Capture During CRT: Limitations of Current Criteria |
MRI for Selection of Optimal CRT in Patients with LBBB-Associated/Induced Cardiomyopathy |
Leadless Pacing: Dual chamber to CSP - Aveir DR, Micra AV2, Revolution, Wise-CRT or Newer Tools - Implications for CSP |
Device Therapy for RBBB and Heart Failure: What Should We Do? |
Panel Discussion: CSP vs. BVP in CRT |
Session V Pre-Live Case Presentation Live Case: CSP using Lumenless Lead for CRT Live Case: CSP Using Stylet-Driven Lead for CRT |
Session VI |
Optimizing CRT in RBBB Patients: Role for CSP |
IVCD or LBBB or Mixed Conduction Disease: Musings from ECG, HBP, Left Septal Mapping |
CRT in IVCD – Rationale for HOT/LOT CRT or BVP |
CSP: Implications and Potential for Arrhythmia Prevention |
LBBP vs. LVSP for CRT in LBBB – How Important is Conduction System Capture? |
Stylet Driven Leads for CRT – Evidence, advantages and Limitations |
Panel Discussion: LBBAP and Limitations |
Session VII |
Bachmann’s Bundle Pacing: How to Perform and Rationale for Prevention of AF |
Heart Failure with Preserved Ejection Fraction: MyPace and Beyond |
Cardiac Contractility Modulation (CCM) – Where Do We Stand in 2024? |
Autonomic Neuromodulation for Heart Failure |
Device selection for treatment of HF: What do the HRS Guidelines Recommend? |
Panel Discussion |
Session VIII |
Remote Monitoring and Use of Cloud-Based Providers for CIED Follow-Up – How to Maximize RM for CSP? |
Lead Failure in LBBAP: (Loss of Conduction Capture, Lead Fracture, etc.) Evidence and Bench Testing |
Pearls for Follow-Up for CSP Devices |
Ongoing CSP Trials |
New Science Abstract Presentations Global R-wave Peak Time (RWPT) Is More Diagnostically Accurate Than V6 RWPT and Insensitive to Variations in Paced QRS Morphology and Axis LOCAlizaTion and Clinical CorrElation of Left Bundle Branch Pacing lead (LOCATE LBBP) – Insights from a Computed Tomographic Angiography Study Predictors of Efficacy of His Bundle Pacing: A Stratified Analysis of the HOPE-HF RCT |
Partner Institutions
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Co-Sponsor
Faculty
Course Directors |
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Gopi Dandamudi, MD |
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Kenneth Ellenbogen, MD |
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Roderick Tung, MD |
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Gaurav Upadhyay, MD |
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Pugazhendhi Vijayaraman, MD |
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Faculty |
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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
MediaSphere 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:
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Co-Sponsor