EHRA 临床共识声明：心脏起搏的心脏传导系统植入术，由亚太心律学会（APHRS）、加拿大心律学会（CHRS）和拉丁美洲心律学会（LAHRS）共同认可。

Cardiac Pacing Unit, Cardiology Department, University Hospital of Geneva, Rue Gabrielle Perret Gentil 4, 1211 Geneva 14, Switzerland.

First Department of Cardiology and Electrocardiology and Arterial Hypertension, Jagiellonian University, Kopernika 17, 31-501 Kraków, Poland.

Europace. 2023 Apr 15;25(4):1208-1236. doi: 10.1093/europace/euad043.

Conduction system pacing (CSP) has emerged as a more physiological alternative to right ventricular pacing and is also being used in selected cases for cardiac resynchronization therapy. His bundle pacing was first introduced over two decades ago and its use has risen over the last five years with the advent of tools which have facilitated implantation. Left bundle branch area pacing is more recent but its adoption is growing fast due to a wider target area and excellent electrical parameters. Nevertheless, as with any intervention, proper technique is a prerequisite for safe and effective delivery of therapy. This document aims to standardize the procedure and to provide a framework for physicians who wish to start CSP implantation, or who wish to improve their technique.

心脏传导系统起搏（CSP）已成为一种比右心室起搏更具生理性的替代方法，并且也正在一些特定情况下用于心脏再同步治疗。希氏束起搏技术在二十多年前首次被引入，随着能够促进起搏的工具的出现，其应用在过去五年中有所增加。左束支区域起搏则是更近的技术，但由于其目标区域更广且电参数出色，因此其应用正在迅速普及。然而，与任何干预措施一样，适当的技术是安全有效实施治疗的前提。本文旨在规范该操作流程，并为希望开展心脏传导系统起搏植入或希望提高该技术的医生提供框架。