心脏再同步治疗用于依赖慢性心脏起搏的儿童充血性心力衰竭。

Cardiac resynchronization as therapy for congestive cardiac failure in children dependent on chronic cardiac pacing.

作者信息

van Beek Eugène, Backx Ad, Singh Sandeep

机构信息

Children's Hearth Centre, University Medical Centre, Nijmegen, The Netherlands.

出版信息

Cardiol Young. 2006 Apr;16(2):187-9. doi: 10.1017/S1047951106000163.

DOI:10.1017/S1047951106000163

PMID:16553984

Abstract

Three patients with heart failure after chronic right ventricular apical pacing were treated with resynchronization. Biventricular pacing was used for two patients, and the other was treated with left univentricular pacing. In all patients, we observed a dramatic improvement of left ventricular dimension, function, and clinical state. We conclude that biventricular or left ventricular pacing is superior to right ventricular apical pacing in children who are pacemaker-dependent.

摘要

三名慢性右心室心尖部起搏后发生心力衰竭的患者接受了再同步治疗。两名患者采用双心室起搏，另一名患者采用左单心室起搏。在所有患者中，我们观察到左心室大小、功能和临床状态有显著改善。我们得出结论，对于依赖起搏器的儿童，双心室或左心室起搏优于右心室心尖部起搏。