New pacing method cuts hospital stays for heart failure patients with mildly reduced function

People with heart failure and a mildly reduced pumping function often face frequent hospital visits. A large review looked at a new way to pace the heart called conduction system pacing. This method includes His-bundle pacing and left bundle branch pacing. Researchers compared it to the older standard method called biventricular pacing. They found that the new method led to fewer hospital stays for heart failure. It also improved the combined risk of death or hospitalization. The new method helped narrow electrical signals in the heart better than the old way. This suggests the heart is working more smoothly with the new technique. Safety data showed fewer device-related problems with the new method. However, the review noted that large randomized trials are needed to confirm these findings. Until then, the results offer hope but require more proof before changing standard care.