Conduction system pacing (CSP) is being increasingly adopted as a more physiological alternative to right ventricular and biventricular pacing. Since the 2021 European Society of Cardiology pacing guidelines, there has been growing evidence that this therapy is safe and effective. Furthermore, left bundle branch area pacing was not covered in these guidelines due to limited evidence at that time. This Clinical Consensus Statement provides advice on indications for CSP, taking into account the significant evolution in this domain.

• Keywords
• Biventricular pacing, Cardiac resynchronization therapy, Conduction system pacing, His bundle pacing, Indications, Left bundle branch area pacing,
• MeSH
• Action Potentials MeSH
• Cardiology * standards   MeSH
• Cardiac Pacing, Artificial * standards   adverse effects   methods   MeSH
• Consensus MeSH
• Humans MeSH
• Heart Conduction System * physiopathology   MeSH
• Societies, Medical MeSH
• Arrhythmias, Cardiac * therapy   physiopathology   diagnosis   MeSH
• Heart Rate MeSH
• Treatment Outcome MeSH
• Check Tag
• Humans MeSH
• Publication type
• Journal Article MeSH
• Practice Guideline MeSH
• Geographicals
• Europe MeSH