希氏束起搏：踏上学习曲线。
His Bundle Pacing: Getting on the Learning Curve.
作者信息
Lustgarten Daniel L
机构信息
The University of Vermont School of Medicine, The University of Vermont Medical Center, 111 Colchester Avenue, McClure 1 Cardiology, Burlington, VT 05401, USA.
出版信息
Card Electrophysiol Clin. 2018 Sep;10(3):491-494. doi: 10.1016/j.ccep.2018.05.012.
Permanent His bundle pacing prevents ventricular dyssynchrony in patients who depend on ventricular pacing and can provide an alternative means to implementing cardiac resynchronization therapy in patients with bundle branch disease and congestive heart failure. Adoption of His bundle pacing, however, has lagged in part due to perceived and real challenges in performing the procedure well and durably. This article focuses on what is required to get on the learning curve and developing technical competence.
永久性希氏束起搏可防止依赖心室起搏的患者出现心室不同步，并可为束支疾病和充血性心力衰竭患者实施心脏再同步治疗提供一种替代方法。然而，希氏束起搏的应用进展滞后，部分原因是在良好且持久地实施该手术方面存在认知和实际挑战。本文重点关注进入学习曲线并培养技术能力所需的条件。
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