Beyond CRT: LBBAP and the New Era of Physiological Pacing — Promise and Pitfalls: EP Edge Newsletter October 2025 Issue 5

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EP Edge

Niraj Sharma MD FACC FHRS

6 episodes

2 days ago

EP-EDGE brings you the latest in cardiac electrophysiology — from breakthrough research and clinical insights to future-shaping innovations. Hosted by Dr. Niraj Sharma, an electrophysiologist with over 15 years of experience, each episode delivers clear, evidence-based updates designed to inform, inspire, and elevate your practice.

All content for EP Edge is the property of Niraj Sharma MD FACC FHRS and is served directly from their servers with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.

Beyond CRT: LBBAP and the New Era of Physiological Pacing — Promise and Pitfalls: EP Edge Newsletter October 2025 Issue 5

EP Edge

10 minutes

1 week ago

Beyond CRT: LBBAP and the New Era of Physiological Pacing — Promise and Pitfalls: EP Edge Newsletter October 2025 Issue 5

In this episode of EP Edge Podcast, Dr. Niraj Sharma dives deep into the clinical promise and procedural realities of LBBAP:

Clinical advantages: improved LVEF, narrower QRS, lower VT/VF and AF incidence.
RV protection: reduced risk of pacing-induced cardiomyopathy.
Sex-specific outcomes: women with NICM + LBBB derive greater benefit.
Complications: lead fracture, TR progression, microperforations, and capture failure.
Future directions: integrating imaging, refining technique, and advancing lead technology

This is where physiology meets precision—and where CRT is being redefined.

For: Source data/infographics see EPEDGE Newsletter on LinkedIn
For feedback, collaborations, or questions, email Dr. Niraj Sharma at epedgecast@gmail.com or connect on LinkedIn