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传导束起搏预防与治疗心力衰竭的新进展

本站小编 Free考研考试/2024-01-27

王楠,
董颖雪,
大连医科大学附属第一医院 心内科,辽宁 大连 116011

基金项目: 大连市科技创新基金项目(2020JJ26SN055)


详细信息 作者简介: 王 楠(1988-),女,副主任医师。E-mail:wnan19880504@aliyun.com


通讯作者: 董颖雪,主任医师,教授。研究方向:心律失常。E-mail:dlsusan@126.com 中图分类号: R4


心脏起搏可治疗心动过缓以及心力衰竭(心衰),但以往的起搏方式包括右室起搏、双室再同步化起搏均不是最生理性的起搏方式,还可能导致心衰的发生,或使心衰改善困难。传导束起搏(CSP)可以真正做到在传导束病变远端进行生理性心脏传导系统的重建,在心衰的预防及部分与传导束有关的心衰根治方面意义重大。随着术者经验的提高、临床技术的推广,传导系统起搏将为患者带来更大的临床获益。
关键词: 传导束起搏/
心力衰竭/
心动过缓/
左束支传导阻滞/
房室结消融


Cardiac pacing has a long history in the treatment of bradycardia and heart failure. However, previous pacing modalities, including right ventricular pacing and dual ventricular resynchronization pacing, are not the most physiological pacing modalities and possibly lead to the occurrence of heart failure or difficulty in the improvement of heart failure. Conduction system pacing, as a landmark leap in the history of cardiac pacing, can truly achieve the reconstruction of the physiological cardiac conduction system at the distal end of the conduction lesion. It plays a great role in the prevention and treatment of heart failure, especially heart failure caused by conduction system problems. With the improvement of operator experience and the promotion of clinical technologies, conduction system pacing will bring greater clinical benefits to more patients.
Keywords:conduction system pacing/
heart failure/
bradycardia/
left bundle branch block/
atrioventricular node ablation

PDF全文下载地址:

https://journal.dmu.edu.cn/data/article/export-pdf?id=64b9ef93fa89b263238914be
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