Hussain Mohsin A, Bhamra-Ariza Paul, Jacques Adam, Wilkinson Peter, Odemuyiwa Olusola, Fluck David, Beeton Ian, Kaba Riyaz A
Ashford & St Peter's Hospitals, NHS Foundation Trust, Surrey, UK.
Pacing Clin Electrophysiol. 2013 Feb;36(2):e45-7. doi: 10.1111/j.1540-8159.2011.03065.x. Epub 2011 Mar 31.
We present a case of a 76-year-old man with ischemic cardiomyopathy. Cardiac magnetic resonance imaging demonstrated severe left ventricular (LV) impairment with possibility of scar formation. Cardiac resynchronization therapy was employed with the aid of a novel quadripolar LV lead. The quadripolar LV lead can be programmed for 10 different pacing configurations, allowing the electrophysiologist freedom to optimize the vector around scar and also avoid phrenic nerve stimulation without the requirement of LV lead repositioning.
我们报告一例76岁患有缺血性心肌病的男性病例。心脏磁共振成像显示左心室（LV）严重受损，可能形成瘢痕。在一种新型四极左心室导线的辅助下采用了心脏再同步治疗。这种四极左心室导线可设置为10种不同的起搏配置，使电生理学家能够自由优化围绕瘢痕的向量，并且无需重新定位左心室导线即可避免膈神经刺激。
