The New England Journal of Medicine

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Overview

Left Bundle-Branch Pacing versus Right Ventricular Pacing for Atrioventricular Block

Nov 8, 2026DOI: 10.1056/nejmoa2612972Original ArticleNEJM

Written by: Zhiyong Qian, M.D.Lingyun Jiang, M.D.Xiaofeng Hou, M.D.Xiaolin Xue, M.D.Min Shen, M.D.Yangang Su, M.D.Yangxin Chen, M.D.Binni Cai, M.D.Lang He, M.D.Jie Fan, M.D.Fayuan Fu, M.D.Marek Jastrzębski, M.D.Shengwen Yang, M.D.Joseph Yat-Sun Chan, M.D.Weijian Huang, M.D.Zachary I. Whinnett, Ph.D.Xia Sheng, M.D.Mihail G. Chelu, M.D.Yuanning Xu, M.D.Yao Wang, M.D.Xianhong Shu, M.D.Haiyan Chen, M.D.Fengwei Zou, M.D.Kenneth A. Ellenbogen, M.D.Michael R. Gold, M.D.Yongyue Wei, Ph.D.Xingbin Liu, M.D.Jiangang Zou, M.D.

Summary

In patients with atrioventricular block, left bundle-branch pacing resulted in a lower incidence of a composite of death, hospitalization for heart failure, or pacing-induced cardiomyopathy than right ventricular pacing.