Journal of Innovation in Cardiac Rhythm Management
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About the PPS
The Annual International Physiology of Pacing Symposium gathers renowned experts who explore the latest methods and strategies for optimizing physiological heart pacing. This CME-accredited event emphasizes advanced conduction system pacing (CSP) techniques, including His-bundle pacing (HBP), left bundle branch area pacing (LBBAP), and left ventricular septal pacing (LVSP). These emerging pacing methods have significant potential to activate the heart's electrical system through its normal conduction pathways.

Participating in the symposium will give clinicians a thorough understanding of the history and relevant anatomy of the conduction system, especially regarding HBP/LBBAP/LVSP. They will also gain practical knowledge that can be applied immediately in their clinical work. The program provides an overview of established clinical applications and ongoing trials, equipping clinicians with the latest advancements in the field and helping them improve patient care.

PPS10 Save the Date
We look forward to your attendance at next year’s 10th Annual International Physiology of Pacing Symposium in Chicago (Date and Time TBA)

PPS9 ON-DEMAND

Welcome to the PPS9 ON-DEMAND Library
We are pleased to provide complimentary and on-demand access to each Session of the 9th Annual International Physiology of Pacing Symposium held at the Phoenician in Scottsdale, Arizona, October 25, 2025 and simultaneously broadcast as a real-time live stream.

Session I
Implantation Optimization

Chairs: Kenneth Ellenbogen, MD, and Roderick Tung, MD

Hemodynamics of LBBP vs. LVSP: Does LBB Capture Matter?
Kevin Vernooy, MD, PhD

Intra-Implant Criteria for Left Conduction System Capture
Marek Jastrzebski, MD

How to Optimize Left Conduction System Capture
Weijian Huang, MD 

CT Guidance for LBBAP
Ajay Pillai, MD

MRI Guidance for LBBAP Selection: Madurai
Shunmuga Sundaram Ponnusamy, MD, DM

UHF-ECG: From Physiological Diagnosis to Endpoint
Karol Curila, MD

Panel Discussion

Session II
Bradycardia Pacing

Chairs: Gopi Dandamudi, MD, and Mina Chung, MD

Clinical Trial Updates: HOPE HF and Beyond
Zachary Whinnett, MD

Leadless 2.0: Considerations in PIC and Tricuspid Regurgitation
Mikael El Chami, MD

LEFT HF and Ongoing Trials
Jacqueline Joza, MD

AV Node Ablation and CSP
Haran Burri, MD

Panel Discussion: With Interventional and Imaging Perspective 
Roderick Tung, MD

Session III
Physiologic Pacing and Cardiac Resynchronization Therapy I
Chairs: Pugazhendhi Vijayaraman, MD, and Kenneth Ellenbogen, MD

CSP and CRT to Reduce Mitral Regurgitation 
Gaurav Upadhyay, MD

Left Ventricular Fusion Pacing Algorithms and/or AV Optimization to Improve CRT Response?
Michael Gold, MD, PhD

When Should LBBP Be the First-Line Therapy for CRT and Why?
Parikshit Sharma, MD

Confirming LBB Capture During CRT: Pitfalls in Current Criteria
Pugazhendhi Vijayaraman, MD

CRT for RBBB and Heart Failure: His CRT Updates
Valentina Kutyifa, MD, PhD

Panel Discussion with HF Specialist Perspective
Ambar Andrade, MD, and Jamal Mahar, MD

e-Satellite Lunch Symposium • Exclusive Live Stream Programming
The Future of Conduction System Pacing: Recorded “Live” Case and the SYNCHRONICITY Clinical Trial 

Session IV
Live and Recorded Cases – Brady and CRT

Moderators: Pugazhendhi Vijayaraman, MD, Kenneth Ellenbogen, MD, Roderick Tung, MD, Weijian Huang, MD, and Marek Jastrebski, MD

Live Case Site 1: Banner – University Medical Center
Live Case Operators: Peter Weiss, MD, and Michael Zawaneh, MD

Case Site 2 (Recorded): Jagiellonian University, Kraków, Poland
Case Operator: Pawel Moskal, MD

Session V
Physiologic Pacing and Cardiac Resynchronization Therapy II
Chairs: Gopi Dandamudi, MD, and Mina Chung, MD

LEARN CRT: Toward Left-Sided EP Study and Personalized Care
Margarida Pujol-Lopez, MD

CONSPIRE Updates – Inter-Observer Variability in LBBAP
Gaurav Upadhyay, MD

CSP: HOT and LOT for IVCD
Bengt Herweg, MD

Stylet-Driven Leads for CRT – Evidence, Advantages, and Limitations
Francesco Zanon, MD

Panel Discussion

Session VI
Bachmann Bundle Pacing and Non-Responders
Chairs: Gaurav Upadhyay, MD, and Valentina Kutyifa, MD, PhD

Heart Failure with Preserved Ejection Fraction: MyPace and Beyond
Maggie Infeld, MD

Bachmann’s Bundle Pacing: New Physiologic Insights into AF
Brett Atwater, MD

Bachmann’s Bundle Pacing: How to Perform and Why
Daniel Lustgarten, MD, PhD

Cardiac Contractility Modulation (CCM) – Where Do We Stand in 2025?
Niraj Varma, MD, PhD

Autonomic Neuromodulation for Heart Failure
Devi Nair, MD

Cardiac Pacing for HTN
Suneet Mittal, MD

Panel Discussion: Think Tank: The Ultimate Non-Responder Trial 
Margarida Pujol-Lopez, MD

Session VII
Durability, Follow-Up, and Trial Updates
Chairs: Jacqueline Joza, MD, and Parikshit Sharma, MD

Optimizing Follow-Up: Remote Monitoring to AI
Parikshit Sharma, MD

Lead Failure in LBBAP and Extraction
Robert Schaller, DO

Ongoing CSP Trials in North America
Mihail Chelu, MD, PhD

Physio-Sync and Trials in South America
Andre d’Avila MD, PhD

CRT Trials in Spain/Europe 
Oscar Cano, MD, PhD

New Science Abstract Presentations – Top 3 Abstract Finalists
Chairs: Kenneth Ellenbogen, MD, and Pugazhendhi Vijayaraman, MD

Electrosurgery to Traverse the Surgerized Ventricular Septum and Facilitate Left Bundle Branch Area Pacing
Rawan Atallah, MD
Sutter Health, Oakland, CA, USA

Prospective Study on the Effect of an Atrial Pacing Lead After Atrio-ventricular Junction Ablation with Left Bundle Branch Pacing for Long-standing Atrial Fibrillation 
Shunmuga Sundaram Ponnusamy, MD, DM
Velammal Medical College Hospital and Research Institute, Madurai, India

Determinants of Mid-Term Response to Left Bundle Branch Pacing in Heart Failure Patients with Left Bundle Branch Block 
Yang Ye, MD
Sur Run Run Shaw Hospital, Hangzhou, China

 

Faculty

Course Directors

Roderick Tung MD

Roderick Tung, MD
Banner University Medical Center – Phoenix
Phoenix, AZ

  Gaurav Upadhyay MD Gaurav Upadhyay, MD
The University of Chicago Medicine
Chicago, IL
Gopi Dandamudi MD

Gopi Dandamudi, MD
Prisma Health
Greenville, SC

  Pugazhendhi Vijayaraman MD Pugazhendhi Vijayaraman, MD
Geisinger Wyoming Valley Medical Center
Danville, PA
Kenneth Ellenbogen MD

Kenneth Ellenbogen, MD
VCU School of Medicine
Richmond, VA

     

Faculty

Ambar Andrade, MD
Banner Health Medical Center – Phoenix
Phoenix, AZ

Brett Atwater, MD
Inova Heart & Vascular Institute
Fairfax, VA

Haran Burri, MD
University Hospital of Geneva
Geneva, Switzerland

Oscar Cano, MD, PhD
Hospital Universitari i Politècnic La Fe
Valencia, Spain

Mihail Chelu, MD, PhD
Baylor College of Medicine
Houston, TX

Mina Chung, MD
Cleveland Clinic
Cleveland, OH

Karol Curila, MD
Charles University and University Hospital Kralovske Vinohrady
Prague, Czech Republic

Mikael El Chami, MD
Emory University Hospital
Atlanta, GA

Andre d’Avila, MD, PhD
Beth Israel Deaconess Medical Center,
Boston, MA

Michael Gold, MD, PhD
Medical University of South Carolina
Charleston, SC

Bengt Herweg, MD
University of South Florida Morsani College of Medicine
Tampa, FL

Weijian Huang, MD
The First Affiliated Hospital of Wenzhou Medical University
Wenzhou, China

Maggie Infeld, MD
Tufts Medical
Boston, MA

Marek Jastrzebski, MD
Jagiellonian University Hospital
Krakow, Poland

Jacqueline Joza, MD
McGill University Health Centre
Montreal, Québec, Canada

Valentina Kutyifa, MD, PhD
University of Rochester
Rochester, NY

Margarida Pujol-Lopez, MD
Banner University Medical Center – Phoenix
Phoenix, AZ

 

Jamal Mahar, MD
Banner Health Medical Center – Phoenix
Phoenix, AZ

Daniel Lustgarten, MD
University of Vermont Medical Center
Burlington, VT

Suneet Mittal, MD
Valley Health System
Ridgewood, NJ

Pawel Moskal, MD
Jagiellonian University
Krakow, Poland

Devi Nair, MD
St. Bernard’s Heart & Vascular Center
Jonesboro, AR

Ajay Pillai, MD
VCU School of Medicine
Richmond, VA

Shunmuga Sundaram Ponnusamy, MD, DM
Velammal Medical College
Madurai, India

Robert Schaller, DO
Hospital of the University of Pennsylvania
Philadelphia, PA

Parikshit Sharma, MD
Rush University Medical Center
Chicago, IL

Niraj Varma, MD, PhD
Cleveland Clinic
Cleveland, OH

Kevin Vernooy, MD, PhD
Maastricht University Medical Center
Maastricht, The Netherlands

Peter Weiss, MD
Banner University Medical Center – Phoenix
Phoenix, AZ

Zachary Whinnett, MD
CA Healthcare UK
Imperial College NHS Trust
London, United Kingdom

Michael Zawaneh, MD
Banner University Medical Center – Phoenix
Phoenix, AZ

Francesco Zanon, MD
Santa Maria della Misericordia Hospital
Rovigo, Italy

Case Sites and Operators

Banner – University Medical Center • Phoenix, AZ
Peter Weiss, MD, and Michael Zawaneh, MD

Jagiellonian University • Krakow, Poland
Pawel Moskal, MD

CME Accreditation

PPS9 ON-DEMAND is non-accredited and does not provide CME credits. The following CME information, including directions to claim CME credits, is relevant solely to on-site and virtual attendees of the live activity.

Claiming Credits
The 9th Annual International Physiology of Pacing Symposium is CME-accredited for onsite and virtual attendees. Continuing Education Credits may be claimed directly on this webpage at the conference's conclusion. 1 CME Certificate is supplied electronically for the cumulative credits earned commensurate with the extent of participation in the activity.
Credits are available to claim until 10/25/2026

Target Audience
This educational activity is designed for electrophysiologists, general cardiologists, electrophysiology fellows in training, and allied healthcare professionals.

Learning Objectives
Upon completion of this educational activity, participants will be able to:

  • Discuss the evolving role of conduction system pacing (CSP) for standard permanent pacing and cardiac resynchronization.
  • Describe challenges and methods for implantation technique of permanent His-bundle pacing (HBP), left bundle branch area pacing (LBBAP), and left ventricular septal pacing (LVSP)
  • Review the relationship between electrical stimulation of the heart and the mechanics of myocardial contraction.
  • Review the history and recent advances of CSP and emerging clinical situations and applications in patients with narrow and wide QRS morphology.
  • Review the anatomy of the membranous septum conduction system concerning the right atrium, tricuspid valve, and ventricular septum.
  • Summarize strategies and clinical evidence for the various approaches to achieve cardiac resynchronization, including leadless technology, multisite pacing, and left ventricular (LV) endocardial pacing.
  • Outline approaches to complications during implant procedures for CSP.
  • Discuss approaches for remote monitoring and optimization of CSP and CRT systems.

Accreditation Statement
Jointly Accredited Provider TMMediaSphere Medical and Ciné-Med have planned and implemented this activity to improve patient care. Ciné-Med is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Physicians: Ciné-Med designates this educational activity for a maximum of 9.50 AMA PRA CATEGORY 1 Credit(s)™.
Physicians should claim credit only for the extent of their participation in the activity.

Nurses and Other Healthcare Professionals: All other healthcare professionals will receive a Certificate of Participation. For information on the applicability and acceptance of Certificates of Participation for activities designated for AMA PRA Category 1 Credits™, consult your professional licensing board.


Disclosure Policy
MediaSphere Medical and Ciné-Med adhere to accreditation requirements concerning industry support of continuing medical education. Speakers must openly disclose any data limitations and/or discuss any off-label, experimental, or investigational uses of drugs or devices in their presentations. Speakers will disclose any relationships at the beginning of their presentations.

All MediaSphere Medical and Ciné-Med employees in content control have indicated that they have no relevant financial relationships to disclose.

MediaSphere Medical and Ciné-Med policy is to ensure balance, independent objectivity, and scientific rigor in all supported educational programs. All faculty members participating in academic activities must disclose to the program audience any real or apparent conflicts of interest held within the past 12 months.

MediaSphere Medical and Ciné-Med implement a mechanism to identify and resolve all conflicts of interest before delivering the educational activity to learners.

Non-Endorsement Statement
MediaSphere Medical and Ciné-Med verify that sound education principles have been demonstrated in developing this educational offering, as evidenced by reviewing its objectives, teaching plan, faculty, and activity evaluation process. MediaSphere Medical and Ciné-Med do not endorse or support the actual opinions or material content presented by the speaker(s) and sponsoring organization.


Commercial Support
This activity is supported through educational grants from:

Medtronic • Abbott • Boston Scientific • BIOTRONIK • CVRx • Impulse Dynamics • Murj

Joint Providership:
MediaSphere Medical, LLC and Ciné-Med

 

Industry Partners

 

2025 Industry Partners

 

Partners In Educational Advancements   

The generous support of our industry colleagues makes the 9th Annual International Symposium on the Physiology of Pacing possible.

 

Educational Grantors

We gratefully acknowledge our industry partners for their significant and generous educational grant support.   

Medtronic • Abbott • Boston Scientific BIOTRONIK

CVRx • Impulse Dynamics • Murj

 

Thank you to our Sponsors!

Platinum

Medtronic • Abbott • Boston Scientific • BIOTRONIK • Murj

 

Thank you to our Exhibitors!

Abbott

BIOTRONIK

Boston Scientific

Medtronic

Murj

Fischer Medical

EBR Systems, Inc.

VDI Technologies

 

Global Premier Live Stream

Boston Scientific

 

Partner Institutions

Geisinger health Logo UChicago Medicine Logo VCU Health Logo
Prisma Health Logo Collage of Medicine Phoenix Logol vector

 

Recognized as

 HRS Synchrony Logo

 

e-Satellite

e-Satellite Lunch Symposium On-Demand Archive

The Future of Conduction System Pacing: Recorded “Live” Case and the SYNCHRONICITY Clinical Trial

 

tmb ppsymposium 2025 eSateliteActivity Description
The On-Demand Archive of the e-Satellite Lunch Symposium, featuring two distinct sessions, starts with Dr. Jorge Romero, Co-Principal Investigator of Boston Scientific’s SYNCHRONICITY Study, who introduces the study assessing the safety and effectiveness of LBBAP versus traditional CRT in patients with heart failure. Dr. Jonathon Weinstock joins Dr. Romero for further discussion on the research and its potential impact on daily practice. Next, Dr. Pugazhendhi Vijayaraman presents a live, pre-recorded case to an esteemed panel, including Dr. Gaurav Upadhyay and Dr. Daniel Friedman, who discuss the LBBAP implant technique and optimal clinical decision-making strategies.

 

e-Satellite Agenda and Faculty

Session I: Introducing the SYNCHRONICITY Study

Presenter: Co-Principal Investigator; SYNCHRONICITY Study

Moderator

Jorge Romero MD

Jorge Romero, MD
Brigham and Women's Hospital
Boston, MA

Jonathan Weinstock MD

Jonathan Weinstock, MD
Boston Scientific
St. Paul, MN

Session II: LBBAP in Practice: A Recorded Live Case

Case Operator

 
Pugazhendhi Vijayaraman MD

Pugazhendhi Vijayaraman, MD
Geisinger Wyoming Valley Medical Center
Danville, PA

 

Panelists

 

Gaurav Upadhyay MD

Gaurav Upadhyay, MD
The University of Chicago Medicine
Chicago, IL

Daniel Friedman MD

Daniel Friedman, MD
Duke Health
Durham, NC


“This activity was originally held as an e-Satellite lunch symposium during PPS9 through a special sponsorship from Boston Scientific; however, it was not part of the PPS9 official sessions as planned by its program committee. The activity was neither sponsored nor endorsed by PPS9”