Stockburger M
Medizinische Klinik mit Schwerpunkt Kardiologie, Charité - Universitätsmedizin Berlin, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353, Berlin, Deutschland.
Herzschrittmacherther Elektrophysiol. 2011 Mar;22(1):16-20. doi: 10.1007/s00399-011-0118-1.
Cardiac resynchronization (CRT) through atrio-biventricular pacemaker therapy is now a well established treatment option for severely symptomatic patients with advanced systolic heart failure (HF) and intraventricular conduction delay, especially left bundle branch block. The purpose of this article is to address possible applications of biventricular pacing beyond the classical CRT indication. In particular, a summary is given of available information on CRT in patients with symptomatic systolic HF, but narrow QRS complex, and those with wide QRS, but less pronounced or even absent clinical HF signs.
通过房室双腔起搏器治疗进行心脏再同步化(CRT)目前是晚期收缩性心力衰竭(HF)且存在室内传导延迟、尤其是左束支传导阻滞的严重症状患者的一种成熟治疗选择。本文旨在探讨双心室起搏在经典CRT适应证之外的可能应用。特别是,总结了有关有症状收缩性HF但QRS波群窄的患者以及QRS波群宽但临床HF体征不明显甚至不存在的患者中CRT的现有信息。