
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.
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Session I |
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Hemodynamics of LBBP vs. LVSP: Does LBB Capture Matter? |
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Intra-Implant Criteria for Left Conduction System Capture |
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How to Optimize Left Conduction System Capture |
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CT Guidance for LBBAP |
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MRI Guidance for LBBAP Selection: Madurai |
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UHF-ECG: From Physiological Diagnosis to Endpoint |
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Panel Discussion |
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Session II |
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Clinical Trial Updates: HOPE HF and Beyond |
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Leadless 2.0: Considerations in PIC and Tricuspid Regurgitation |
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LEFT HF and Ongoing Trials |
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AV Node Ablation and CSP |
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Panel Discussion: With Interventional and Imaging Perspective |
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Session III |
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CSP and CRT to Reduce Mitral Regurgitation |
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Left Ventricular Fusion Pacing Algorithms and/or AV Optimization to Improve CRT Response? |
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When Should LBBP Be the First-Line Therapy for CRT and Why? |
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Confirming LBB Capture During CRT: Pitfalls in Current Criteria |
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CRT for RBBB and Heart Failure: His CRT Updates |
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Panel Discussion with HF Specialist Perspective |
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e-Satellite Lunch Symposium • Exclusive Live Stream Programming |
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Session IV 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 Case Site 2 (Recorded): Jagiellonian University, Kraków, Poland |
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Session V |
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LEARN CRT: Toward Left-Sided EP Study and Personalized Care |
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CONSPIRE Updates – Inter-Observer Variability in LBBAP |
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CSP: HOT and LOT for IVCD |
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Stylet-Driven Leads for CRT – Evidence, Advantages, and Limitations |
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Panel Discussion |
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Session VI |
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Heart Failure with Preserved Ejection Fraction: MyPace and Beyond |
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Bachmann’s Bundle Pacing: New Physiologic Insights into AF |
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Bachmann’s Bundle Pacing: How to Perform and Why |
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Cardiac Contractility Modulation (CCM) – Where Do We Stand in 2025? |
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Autonomic Neuromodulation for Heart Failure |
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Cardiac Pacing for HTN |
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Panel Discussion: Think Tank: The Ultimate Non-Responder Trial |
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Session VII |
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Optimizing Follow-Up: Remote Monitoring to AI |
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Lead Failure in LBBAP and Extraction |
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Ongoing CSP Trials in North America |
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Physio-Sync and Trials in South America |
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CRT Trials in Spain/Europe |
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New Science Abstract Presentations – Top 3 Abstract Finalists Electrosurgery to Traverse the Surgerized Ventricular Septum and Facilitate Left Bundle Branch Area Pacing 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 Determinants of Mid-Term Response to Left Bundle Branch Pacing in Heart Failure Patients with Left Bundle Branch Block |
Faculty
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Course Directors |
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Roderick Tung, MD |
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Gaurav Upadhyay, MD The University of Chicago Medicine Chicago, IL |
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Gopi Dandamudi, MD |
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Pugazhendhi Vijayaraman, MD Geisinger Wyoming Valley Medical Center Danville, PA |
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Kenneth Ellenbogen, MD |
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Faculty |
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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
MediaSphere 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
Recognized as
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e-Satellite
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e-Satellite Lunch Symposium On-Demand Archive The Future of Conduction System Pacing: Recorded “Live” Case and the SYNCHRONICITY Clinical Trial |
Activity 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.
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e-Satellite Agenda and Faculty |
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Session I: Introducing the SYNCHRONICITY Study |
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Session II: LBBAP in Practice: A Recorded Live Case |
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“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”





