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采用希氏束起搏治疗疼痛性左束支传导阻滞综合征。

Painful left bundle branch block syndrome treated with his bundle pacing.

作者信息

Viles-Gonzalez Juan F, Mahata Indrajeet, Anter Elad, d'Avila Andre

机构信息

Tulane University, United States of America.

Tulane University, United States of America.

出版信息

J Electrocardiol. 2018 Nov-Dec;51(6):1019-1022. doi: 10.1016/j.jelectrocard.2018.08.014. Epub 2018 Aug 15.

DOI:10.1016/j.jelectrocard.2018.08.014
PMID:30497723
Abstract

This is a case report of a patient with painful LBBB Syndrome that responded favorably to His Bundle Pacing. This syndrome is largely under recognized despite 50 reports in the literature over the last 60 years. Both diagnosis and treatment are not well defined and represent a major challenge in patients with this entity. Right ventricular pacing has been attempted with inconsistent efficacy outcomes. We report for the first-time complete resolution of chest pain with His bundle pacing. HBP provides a promising alternative pacing option that might provide symptom resolution to patients with a painful LBBB syndrome.

摘要

这是一篇关于一名患有疼痛性左束支传导阻滞综合征患者的病例报告，该患者对希氏束起搏反应良好。尽管在过去60年的文献中有50篇相关报道，但这种综合征在很大程度上仍未得到充分认识。其诊断和治疗均未明确界定，对患有该病症的患者来说是一项重大挑战。曾尝试右心室起搏，但疗效结果不一。我们首次报告了希氏束起搏使胸痛完全缓解的情况。希氏束起搏提供了一种有前景的替代性起搏选择，可能为患有疼痛性左束支传导阻滞综合征的患者缓解症状。

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Painful left bundle branch block syndrome treated with his bundle pacing.采用希氏束起搏治疗疼痛性左束支传导阻滞综合征。
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Left bundle branch area pacing for the treatment of painful left bundle branch block syndrome.左束支区域起搏治疗疼痛性左束支传导阻滞综合征
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Improved symptoms, exercise capacity, and homogeneity of cardiac deformation through conduction system pacing in a patient with symptomatic left bundle branch block.
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Painful left bundle branch block syndrome successfully treated by His-bundle pacing.左束支传导阻滞伴疼痛综合征经希氏束起搏成功治疗。
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