Evidence map›Paper›PMID 41280539›Full record

ArticleHeart rhythm O22025

Efficacy and safety of left bundle branch pacing compared with left ventricular septal pacing: A systematic review and meta-analysis.

Iwan Cahyo Santosa Putra, Raymond Pranata, Mohammad Iqbal, Giky Karwiky, Chaerul Achmad

Abstract read
In one paragraph

Article in Heart rhythm O2, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Improved outcomes of left bundle branch pacing compared to left ventricular septal pacing in patients with heart failure: a systematic review and meta-analysis.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Article
  2. Article
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

5 authors.

Iwan Cahyo Santosa PutraDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, Padjadjaran University, Bandung, Indonesia.
Raymond PranataDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, Padjadjaran University, Bandung, Indonesia.
Mohammad IqbalDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, Padjadjaran University, Bandung, Indonesia.
Giky KarwikyDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, Padjadjaran University, Bandung, Indonesia.
Chaerul AchmadDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, Padjadjaran University, Bandung, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Although numerous studies have compared the efficacy and safety of left bundle branch pacing (LBBP) and left ventricular (LV) septal pacing (LVSP), the results remain inconclusive. Objective: This meta-analysis aimed to systematically compare the efficacy and safety of LBBP with that of LVSP. Methods: A comprehensive literature search was conducted across PubMed, Europe PMC, and ScienceDirect to identify studies comparing procedural duration, complications, electrophysiological and echocardiographic parameters, and clinical outcomes between LBBP and LVSP. Results: A total of 22 cohort studies, involving 1360 LBBP and 1186 LVSP procedures, were included. The paced QRS duration (mean difference [MD] = -9.65 ms; 95% confidence interval [CI], -13.35 to -5.96; I Conclusion: In patients with reduced LVEF and wide QRS duration, LBBP demonstrates superior efficacy compared with LVSP. In contrast, in patients with preserved LVEF and narrow QRS duration, the efficacy of LBBP and LVSP is similar. Both groups exhibit comparable safety profiles and procedural efficiency.

Indexed as

EfficacyLeft bundle branch area pacingLeft bundle branch pacingLeft ventricular septal pacingSafety

Identifiers

PMID41280539
PMCPMC12635747

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Registered trials

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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.