Evidence map›Paper›PMID 38189421›Full record

ReviewSingapore medical journal2026

Physiological pacing: just a lot of buzz or the next paradigm shift in bradycardia pacing?

Kenny Tan, Shonda Ng, David Foo, Li Wei Tan, Xuyan Teoh, Pow-Li Chia

Open access · diamondAbstract readReview
In one paragraph

Review in Singapore medical journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 100% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Kenny TanDepartment of Cardiology, Tan Tock Seng Hospital, Singapore.
Shonda NgDepartment of Cardiology, Tan Tock Seng Hospital, Singapore.
David FooDepartment of Cardiology, Tan Tock Seng Hospital, Singapore.
Li Wei TanDepartment of Cardiology, Woodland Health Campus, Singapore.
Xuyan TeohDepartment of Cardiology, Tan Tock Seng Hospital, Singapore.
Pow-Li ChiaDepartment of Cardiology, Tan Tock Seng Hospital, Singapore.
Tan Tock Seng Hospital · SGWoodlands Health Campus · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractCardiac pacing has been an established therapy for bradyarrhythmia due to sinus or atrioventricular nodal disease since the 1950s. However, contemporary studies have shown that conventional right ventricular pacing (RVP) causes electromechanical dyssynchrony, which can lead to atrial fibrillation, heart failure and even death. Recently, the push for a more physiological cardiac pacing has seen a revival in the utilisation and development of conduction system pacing (CSP). There has been a shift towards adopting His bundle pacing (HBP) or left bundle branch area pacing (LBBaP) in bradycardia patients worldwide and in Singapore. This review serves to outline the electrophysiological concepts behind CSP and illustrate the different paced electrocardiogram characteristics of HBP, LBBaP and RVP to aid understanding of this revolutionary pacing approach among medical practitioners in Singapore.

Indexed as

BradycardiaCardiac Pacing, ArtificialBundle of HisElectrocardiographyHeart Conduction SystemHumansPacemaker, ArtificialSingaporebradycardia pacingConduction system pacingphysiological pacing

Identifiers

PMID38189421
PMCPMC12999091
OpenAlexW4390670585

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.