1.1 Evidence on the safety and efficacy of permanent His-bundle pacemaker implantation for treating heart failure is inadequate in quality and quantity. Therefore, this procedure should only be used in the context of research. Find out what only in research means on the NICE interventional procedures guidance page.
1.2 This is a technically challenging procedure and experience in cardiac electrophysiology is needed. It should only be done in specialist centres with experience of cardiac pacing.
1.3 Further research should be in the form of randomised controlled trials or registry data. It should report details of patient selection. Outcomes should include quality of life using relevant and validated measures, including the New York Heart Association classification, survival and the need for hospital admissions.