Deshmukh Amrish, Lakshmanadoss Umashankar, Deshmukh Pramod
Department of Medicine, University of Chicago, 5841 South Maryland Avenue, MC 6092, Chicago, IL 60637, USA.
Cardiac Electrophysiology Division, Ballad Health CVA Heart Institute, 2050 Meadowview Pkwy, Kingsport, TN 37660, USA.
Card Electrophysiol Clin. 2018 Sep;10(3):503-509. doi: 10.1016/j.ccep.2018.05.014.
In addition to the His bundle, numerous other sites have been evaluated as more physiologic alternatives to pacing at the right ventricular apex. Several hemodynamic studies have shown the benefit of His bundle pacing and septal pacing in comparison with right ventricular apical pacing. This article summarizes this literature and presents acute hemodynamic data in an intrapatient study examining His bundle pacing, right ventricular septal pacing, and right ventricular apical pacing.
除希氏束外,许多其他部位已被评估为比右心室心尖部起搏更符合生理的替代起搏部位。多项血流动力学研究表明,与右心室心尖部起搏相比,希氏束起搏和间隔起搏具有优势。本文总结了该文献,并在一项患者内研究中展示了急性血流动力学数据,该研究考察了希氏束起搏、右心室间隔起搏和右心室心尖部起搏。