采用希氏束起搏的心脏再同步治疗作为永久性心房颤动合并左束支传导阻滞患者慢性心力衰竭的一种治疗方法。
Cardiac resynchronization therapy with His bundle pacing as a method of treatment of chronic heart failure in patients with permanent atrial fibrillation and left bundle branch block.
作者信息
Boczar Krzysztof, Sławuta Agnieszka, Ząbek Andrzej, Dębski Maciej, Gajek Jacek, Lelakowski Jacek, Małecka Barbara
机构信息
Department of Electrocardiology, The John Paul II Hospital, Kraków, Poland.
Department of Cardiology, Klodzko County Hospital, Kłodzko, Poland.
出版信息
J Electrocardiol. 2018 May-Jun;51(3):405-408. doi: 10.1016/j.jelectrocard.2018.02.014. Epub 2018 Mar 2.
CRT is a therapeutic option for patients with heart failure, sinus rhythm, prolonged QRS complex duration and reduced ejection fraction. We present a case of 71-year-old woman with dilated cardiomyopathy, NYHA functional class III and AF. We implanted CRT combined with direct His-bundle pacing. The indication for such a therapy was a left bundle branch block with a QRS complex of 178ms and a left ventricular EF of 15%, left ventricular end-diastolic diameter (LVEDD) of 75mm. After 8months of follow-up the LVEDD was 60mm with EF 35-40%.
心脏再同步化治疗（CRT）是心力衰竭、窦性心律、QRS波群时限延长及射血分数降低患者的一种治疗选择。我们报告一例71岁患有扩张型心肌病、纽约心脏协会（NYHA）心功能Ⅲ级及心房颤动（AF）的女性患者。我们植入了CRT并联合直接希氏束起搏。这种治疗的指征为左束支传导阻滞，QRS波群时限为178毫秒，左心室射血分数（EF）为15%，左心室舒张末期内径（LVEDD）为75毫米。随访8个月后，LVEDD为60毫米，EF为35%-40%。
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