EHRA Congress 2026 — Dr Pugazhendi Vijayaraman (Geisinger Heart Institute, Wilkes-Barre, PA, US) and Dr Kenneth Ellenbogen (Virginia Commonwealth University School of Medicine, Richmond, VA, US) come together for an expert discussion on one of the most debated questions in cardiac pacing — whether conduction system pacing (CSP) is ready to replace cardiac resynchronisation therapy, or whether the two approaches are best understood as complementary tools in the management of heart failure with conduction disease.

With growing real-world data and randomised evidence emerging for both left bundle branch area pacing (LBBAP) and His bundle pacing, Drs Vijayaraman and Ellenbogen examine where CSP currently stands against established CRT, how patient selection shapes outcomes, and what the evolving evidence base means for day-to-day electrophysiology practice.

Recorded on-site at EHRA Congress 2026, Paris.
Editor: Jordan Rance
Videographer: David Ben-Harosh, Dan Brent
Support: This is an independent discussion produced by Arrhythmia Academy.