9. Conclusion
Classic RV pacing may induce the systolic and diastolic dysfunction of
both ventricles with consequent adverse clinical endpoints. CSP is a
method that maintains physiologic ventricular activation. It has a
correct pathophysiological basis, and for a long time, the scientific
community has been interested in circumventing its anatomical and
technical difficulties. The knowledge is there, and as the interest is
there, the only thing missing is the right tool so that it is possible
to access this area whenever needed, with satisfactory pacing
parameters, without complications, and of course, with indisputable
proof of its good clinical outcomes. Thus, after coronary artery bypass
grafting, which revolutionized the field of coronary artery
revascularization, electrical lesions in the conduction system might be
dealt with a corresponding “electrical bypass” feasible for all
indications and in all patients who need this pacing treatment.