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希氏束起搏（HBP）病例中的隐匿性传导现象。

The phenomenon of concealed conduction in a case of His bundle pacing (HBP).

作者信息

Sun Shuai, Zhang Hong, Liu Xing-Peng

机构信息

Heart Center, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.

Department of Cardiology, Shan Xi Provincial People's Hospital, Taiyuan City, Shanxi Province, China.

出版信息

J Int Med Res. 2020 Feb;48(2):300060520903608. doi: 10.1177/0300060520903608.

DOI:10.1177/0300060520903608
PMID:32056481
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7111079/
Abstract

The phenomenon of concealed conduction in His bundle pacing (HBP) has rarely been reported. We report here a patient who had 2: 1 atrioventricular block and complete left bundle branch block was used because of HBP. The patient developed continuous right bundle branch block after the operation. After excluding mechanical damage, we speculate that the mechanism of right bundle branch block in this case was due to concealed conduction.

摘要

希氏束起搏（HBP）中的隐匿性传导现象鲜有报道。我们在此报告一名患有2:1房室传导阻滞且因HBP采用完全性左束支传导阻滞的患者。术后该患者出现持续性右束支传导阻滞。排除机械损伤后，我们推测该病例中右束支传导阻滞的机制是隐匿性传导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d91/7111079/6eea8aded07b/10.1177_0300060520903608-fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d91/7111079/455f7a7d83b7/10.1177_0300060520903608-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d91/7111079/6691b1a6bea3/10.1177_0300060520903608-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d91/7111079/6d03dc560fb0/10.1177_0300060520903608-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d91/7111079/f3eaa728936f/10.1177_0300060520903608-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d91/7111079/8d1db9ba174d/10.1177_0300060520903608-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d91/7111079/76104967f8c5/10.1177_0300060520903608-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d91/7111079/7f6c0e7c6239/10.1177_0300060520903608-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d91/7111079/6eea8aded07b/10.1177_0300060520903608-fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d91/7111079/455f7a7d83b7/10.1177_0300060520903608-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d91/7111079/6691b1a6bea3/10.1177_0300060520903608-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d91/7111079/6d03dc560fb0/10.1177_0300060520903608-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d91/7111079/f3eaa728936f/10.1177_0300060520903608-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d91/7111079/8d1db9ba174d/10.1177_0300060520903608-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d91/7111079/76104967f8c5/10.1177_0300060520903608-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d91/7111079/7f6c0e7c6239/10.1177_0300060520903608-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d91/7111079/6eea8aded07b/10.1177_0300060520903608-fig8.jpg

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本文引用的文献

1
Feasibility and Efficacy of His Bundle Pacing or Left Bundle Pacing Combined With Atrioventricular Node Ablation in Patients With Persistent Atrial Fibrillation and Implantable Cardioverter-Defibrillator Therapy.希氏束起搏或左束支起搏联合房室结消融治疗持续性心房颤动合并植入式心脏转复除颤器治疗的可行性和疗效。
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2
A beginner's guide to permanent left bundle branch pacing.永久性左束支起搏初学者指南。
Heart Rhythm. 2019 Dec;16(12):1791-1796. doi: 10.1016/j.hrthm.2019.06.016. Epub 2019 Jun 22.
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Permanent His-bundle pacing: a systematic literature review and meta-analysis.
永久性希氏束起搏：系统文献回顾和荟萃分析。
Europace. 2018 Nov 1;20(11):1819-1826. doi: 10.1093/europace/euy058.
4
Overcoming left bundle branch block by permanent His bundle pacing: Evidence of longitudinal dissociation in the His via recordings from a permanent pacing lead.通过永久性希氏束起搏克服左束支传导阻滞：来自永久性起搏导线的希氏束内记录显示纵向分离的证据
HeartRhythm Case Rep. 2017 Aug 16;3(11):499-502. doi: 10.1016/j.hrcr.2017.08.002. eCollection 2017 Nov.
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A Novel Pacing Strategy With Low and Stable Output: Pacing the Left Bundle Branch Immediately Beyond the Conduction Block.一种具有低且稳定输出的新型起搏策略：在传导阻滞远端立即起搏左束支。
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Heart Rhythm. 2018 Mar;15(3):460-468. doi: 10.1016/j.hrthm.2017.10.039. Epub 2017 Oct 28.
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