Introduction:
Physiological pacing offers the advantage of capturing His-purikinje
system directly thereby achieving synchronized ventricular
contraction1. Deshmukh et al2 first
showed the feasibility of permanent his bundle pacing (HBP). Although
HBP offers the most physiological form of pacing, it has some inherent
limitations. Huang et al3 reported direct capture of
left bundle (LB) by deep septal pacing as an alternative to overcome the
limitations of HBP. Though the safety of LBBP has been established by
several studies, the data for elderly population is lacking. This paper
describes the feasibility, safety and electrophysiological properties of
left bundle branch pacing in octogenarians.