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生理性心脏起搏的新概念。

New concepts in physiologic cardiac pacing.

作者信息

Reynolds Dwight W, Murray Christina M

机构信息

Cardiovascular Section, The University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA.

出版信息

Curr Cardiol Rep. 2007 Sep;9(5):351-7. doi: 10.1007/BF02938361.

DOI:10.1007/BF02938361
PMID:17877929
Abstract

Physiologic pacing is an evolving term used to describe different concepts and technologic developments in implantable devices (including pacemakers and defibrillators) over the past several decades. Currently much of the discussion about optimal physiologic pacing involves fairly recently appreciated deleterious effects of traditional right ventricular pacing. Technologic solutions to the goal of avoiding unnecessary ventricular pacing appear to be available and successful. Although much work is being done to find more physiologic ways to pace the ventricles when necessary, the solutions for this goal are less clear.

摘要

生理性起搏是一个不断发展的术语,用于描述过去几十年来植入式设备(包括起搏器和除颤器)中的不同概念和技术发展。目前,关于最佳生理性起搏的许多讨论都涉及到传统右心室起搏最近才被认识到的有害影响。实现避免不必要心室起搏这一目标的技术解决方案似乎已经存在且取得了成功。尽管目前正在开展大量工作,以寻找在必要时更符合生理需求的心室起搏方式,但实现这一目标的解决方案仍不太明确。

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引用本文的文献

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2
Strategic choices to reduce implantable cardioverter-defibrillator-related morbidity.减少植入式心脏复律除颤器相关发病率的策略选择。
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本文引用的文献

1
Reduced ventricular volumes and improved systolic function with cardiac resynchronization therapy: a randomized trial comparing simultaneous biventricular pacing, sequential biventricular pacing, and left ventricular pacing.心脏再同步治疗可降低心室容积并改善收缩功能:一项比较同步双心室起搏、序贯双心室起搏和左心室起搏的随机试验。
Circulation. 2007 Apr 24;115(16):2136-44. doi: 10.1161/CIRCULATIONAHA.106.634444. Epub 2007 Apr 9.
2
Relation of left ventricular lead placement in cardiac resynchronization therapy to left ventricular reverse remodeling and to diastolic dyssynchrony.
Am J Cardiol. 2007 Jan 15;99(2):239-41. doi: 10.1016/j.amjcard.2006.07.086. Epub 2006 Nov 21.
3
Is dual-chamber programming inferior to single-chamber programming in an implantable cardioverter-defibrillator? Results of the INTRINSIC RV (Inhibition of Unnecessary RV Pacing With AVSH in ICDs) study.在植入式心脏复律除颤器中,双腔起搏程序是否不如单腔起搏程序?INTRINSIC RV(通过房室顺序起搏抑制植入式心脏复律除颤器中不必要的右心室起搏)研究结果。
Circulation. 2007 Jan 2;115(1):9-16. doi: 10.1161/CIRCULATIONAHA.106.629428. Epub 2006 Dec 18.
4
Physiologic pacing: new modalities and pacing sites.生理性起搏:新方式与起搏部位
Pacing Clin Electrophysiol. 2006 Dec;29 Suppl 2:S73-7. doi: 10.1111/j.1540-8159.2006.00493.x.
5
Right ventricular pacing and the risk of heart failure in implantable cardioverter-defibrillator patients.植入式心脏复律除颤器患者的右心室起搏与心力衰竭风险
Heart Rhythm. 2006 Dec;3(12):1397-403. doi: 10.1016/j.hrthm.2006.08.006. Epub 2006 Aug 10.
6
Right ventricular apical pacing: a necessary evil?
Curr Opin Cardiol. 2007 Jan;22(1):33-8. doi: 10.1097/HCO.0b013e32801177f2.
7
Right ventricular pacing can induce ventricular dyssynchrony in patients with atrial fibrillation after atrioventricular node ablation.房室结消融术后房颤患者的右心室起搏可诱发心室不同步。
J Am Coll Cardiol. 2006 Oct 17;48(8):1642-8. doi: 10.1016/j.jacc.2006.05.072. Epub 2006 Sep 27.
8
Ventricular pacing lead location alters systemic hemodynamics and left ventricular function in patients with and without reduced ejection fraction.心室起搏导线位置会改变射血分数降低和未降低患者的全身血流动力学及左心室功能。
J Am Coll Cardiol. 2006 Oct 17;48(8):1634-41. doi: 10.1016/j.jacc.2006.04.099. Epub 2006 Sep 27.
9
Abnormal conduction increases risk of adverse outcomes from right ventricular pacing.异常传导会增加右心室起搏产生不良后果的风险。
J Am Coll Cardiol. 2006 Oct 17;48(8):1628-33. doi: 10.1016/j.jacc.2006.05.071. Epub 2006 Sep 26.
10
Does RV lead positioning provide additional benefit to cardiac resynchronization therapy in patients with advanced heart failure?右心室电极定位对晚期心力衰竭患者的心脏再同步治疗是否有额外益处?
Pacing Clin Electrophysiol. 2006 Oct;29(10):1069-74. doi: 10.1111/j.1540-8159.2006.00500.x.