续丹丹,
安喆^,
吉林大学中日联谊医院 心内科，吉林 长春 130033

详细信息 作者简介: 续丹丹（1996-），女，硕士研究生。E-mail：xudd20@mails.jlu.edu.cn


通讯作者: 安 喆，副教授。E-mail：anzhe@jlu.edu.cn 中图分类号: R541.7


摘要:心脏起搏是治疗症状性心动过缓的最有效手段。右心室心尖是临床上首选的传统起搏部位，具有手术操作简单、位置稳定、长期起搏参数可靠及并发症少等特点。但后来证明长期右心室心尖起搏对心脏功能和血流动力学具有负面影响。近年来，研究者们不断对其他心室替代起搏部位进行研究，心室起搏部位经历了从右心室心尖部、右心室间隔和流出道到希氏束和左束支区域的演变，给患者带来了更多的获益。本文对心室起搏部位的历史演变及最新进展进行综述。
关键词: 起搏器/
生理性起搏/
演变


Abstract:Cardiac pacing is the most effective therapy for symptomatic bradycardia. Right ventricular apex is the clinically preferred traditional pacing site with simple operation, stable position, reliable long-term pacing parameters and few complications. However, several subsequent studies have demonstrated negative effects of long-term right ventricular apical pacing on cardiac function and hemodynamics. This has spurred scholars to investigate other ventricular alternative pacing sites. Over the last 60 years, the ventricular pacing site has undergone an evolution from right ventricular apex, right ventricular septum and outflow tract to the Hitchen's bundle and left bundle branch area, providing additional benefits to patients. We hereby review the historical evolution and recent advances in ventricular pacing sites described above.
Keywords:pacemaker/
physiological pacing/
evolution

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