Abi-Samra Freddy M
Department of Cardiology, Ochsner Clinic Foundation, 1514 Jefferson Highway, New Orleans, LA 70121, USA.
Congest Heart Fail. 2003 Jul-Aug;9(4):214-23, 229. doi: 10.1111/j.1527-5299.2003.01464.x.
In addition to the well established benefits of traditional pacing methods, newer, left ventricular-based pacing techniques appear to induce significant hemodynamic improvements, benefit cardiac remodeling, improve functional capacity, and may decrease hospitalizations in appropriately selected patients with advanced systolic heart failure and intraventricular conduction defects. Encouraging results have been suggested from preliminary observational studies as well as from controlled clinical trials. Despite the generally positive outlook, much remains to be learned about multisite pacing techniques, appropriate site and patient selection, and long-term effectiveness.
除了传统起搏方法已确立的益处外，更新的基于左心室的起搏技术似乎能显著改善血流动力学、有益于心脏重塑、提高功能能力，并且在适当选择的晚期收缩性心力衰竭和室内传导缺陷患者中可能减少住院次数。初步观察性研究以及对照临床试验都已得出令人鼓舞的结果。尽管总体前景乐观，但关于多部位起搏技术、合适的部位和患者选择以及长期有效性仍有许多有待了解的地方。
