Qiying Dai

1 Introduction Surgical site bleeding leading to pocket hematoma after implantation of cardiac implantable electronic devices (CIED) is associated with pain, prolonged wound healing, increased hospital stay, and increased risk of device infection [1]. One of the important factors that contributes to post procedure pocket hematoma is the use of anticoagulation [2]. Optimal management of anticoagulation in the perioperative setting remains controversial.

Background Optimal management in patients presenting with persistent atrial fibrillation, cardiomyopathy, and atrial as well as ventricular dyssynchrony with left bundle branch block is unclear. Results and Methods A 67-year-old female patient presented with persistent atrial fibrillation, cardiomyopathy with a newly reduced ejection fraction (EF), increased P wave duration on electrocardiogram (ECG) and left bundle branch block.

Introduction Left bundle branch area pacing (LBBP) is a novel conduction system pacing method to achieve effective physiological pacing and an alternative to cardiac resynchronization therapy (CRT) with biventricular pacing (BVP) for patients with heart failure with reduced ejection fraction (HFrEF). We conduted this meta-analysis and systemic review to review current data comparing BVP and LBBP in patients with HFrEF and indications for CRT.