LAUSR

To mitigate the risk of dyssynchrony‐induced cardiomyopathy, international guidelines advocate His bundle pacing (HBP) with a ventricular backup lead prior to atrioventricular node ablation in treatment‐refractory atrial fibrillation and normal left ventricular ejection fraction. As a result of concerns with long‐term pacing parameters associated with HBP, this case series reports an adopted strategy of HBP combined with deep septal left bundle branch area pacing (dsLBBAP) in this patient cohort, enabling intrapatient comparison of the two pacing methods.