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Bridging the gap: optimizing conduction system pacing for cost-effectiveness and widespread adoption in low-resource settings Cover

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Bridging the gap: optimizing conduction system pacing for cost-effectiveness and widespread adoption in low-resource settings

Asian Biomedicine

Volume 20 (2026): Issue 3 (June 2026)

By: Ronpichai Chokesuwattanaskul and David Hayes

Open Access

|Jun 2026

Figures & tables

Figures & Tables

Central illustration: CSP strategy framework for limited resource countries. This figure illustrates a hub-and-spoke model for implementing CSP via LBBAP in limited resource settings. RVA Pacing—Conventional RVA pacing, the current standard in many resource-limited settings, which CSP aims to improve upon by preserving more physiological ventricular activation. Approximately 50% Cost Cut—CSP-based CRT achieves approximately 50% cost reduction compared to conventional triple-lead CRT systems, making advanced HF therapy financially viable in lower-income healthcare systems. Training Programs—Structured education and hands-on training initiatives required to build local operator competency in LBBAP implantation techniques. Regional Registries—Data collection infrastructure to monitor implant outcomes, complication rates, and long-term efficacy across participating centers and geographies. Global Access—The overarching goal of equitable worldwide availability of physiological pacing technology, removing economic and logistical barriers to adoption. CRT, cardiac resynchronization therapy; CSP, conduction system pacing; HF, heart failure; LBBAP, left bundle branch area pacing; RVA, right ventricular apex.

Articles in this issue

DOI: https://doi.org/10.2478/abm-2026-0018 | Journal eISSN: 1875-855X | Journal ISSN: 1905-7415

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Language: English

Page range: 155 - 160

Published on: Jun 30, 2026

Published by: Chulalongkorn University

In partnership with: Paradigm Publishing Services

Keywords:

cardiac electrophysiology,

conduction system pacing,

cardiac resynchronization therapy,

pacing-induced cardiomyopathy

Related subjects:

Clinical medicine,

Clinical medicine, other,

Basic medical science,

Basic medical science, other,

Assistive professions, nursing

© 2026 Ronpichai Chokesuwattanaskul, David Hayes, published by Chulalongkorn University
This work is licensed under the Creative Commons Attribution 4.0 License.

Volume 20 (2026): Issue 3 (June 2026)

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