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一例永久性希氏束起搏的有趣病例及当前文献综述

An Interesting Case of Permanent His-Bundle Pacing and a Review of the Current Literature.

作者信息

Ezzeddine Fatima, Dandamudi Gopi

机构信息

Indiana University School of Medicine, Indianapolis, IN.

出版信息

J Innov Card Rhythm Manag. 2017 Apr 15;8(4):2666-2672. doi: 10.19102/icrm.2017.080404. eCollection 2017 Apr.

DOI:10.19102/icrm.2017.080404
PMID:32494444
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7252934/
Abstract

Permanent His-bundle pacing (HBP) is a true physiological form of ventricular pacing that has been shown in recent years to be both safe and feasible in clinical practice. However, there are limited data about its long-term performance, especially when compared with both right ventricular and biventricular pacing. In this article, we present a thought-provoking case study that illustrates the usefulness of permanent HBP in a patient with long-standing complete infranodal heart block and progressive heart failure, and discuss the current literature highlighting the evidence behind this form of permanent pacing.

摘要

永久性希氏束起搏（HBP）是一种真正生理性的心室起搏形式，近年来已证明其在临床实践中既安全又可行。然而，关于其长期性能的数据有限，尤其是与右心室起搏和双心室起搏相比时。在本文中，我们展示了一个发人深省的病例研究，该研究说明了永久性HBP在一名患有长期完全性结下心脏传导阻滞和进行性心力衰竭患者中的作用，并讨论了当前文献中突出这种永久性起搏背后证据的相关内容。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17fc/7252934/ec86de8fa2ee/icrm-08-2666-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17fc/7252934/170fbc15809c/icrm-08-2666-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17fc/7252934/5c96977db54e/icrm-08-2666-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17fc/7252934/6ca194fa38e8/icrm-08-2666-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17fc/7252934/5e407ba3db8b/icrm-08-2666-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17fc/7252934/ec86de8fa2ee/icrm-08-2666-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17fc/7252934/170fbc15809c/icrm-08-2666-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17fc/7252934/5c96977db54e/icrm-08-2666-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17fc/7252934/6ca194fa38e8/icrm-08-2666-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17fc/7252934/5e407ba3db8b/icrm-08-2666-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17fc/7252934/ec86de8fa2ee/icrm-08-2666-g005.jpg

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本文引用的文献

1
Electrophysiologic Insights Into Site of Atrioventricular Block: Lessons From Permanent His Bundle Pacing.房室传导阻滞部位的电生理见解：来自永久性希氏束起搏的经验教训。
JACC Clin Electrophysiol. 2015 Dec;1(6):571-581. doi: 10.1016/j.jacep.2015.09.012. Epub 2015 Oct 17.
2
Electrophysiological observations of acute His bundle injury during permanent His bundle pacing.永久性希氏束起搏期间急性希氏束损伤的电生理观察
J Electrocardiol. 2016 Sep-Oct;49(5):664-9. doi: 10.1016/j.jelectrocard.2016.07.006. Epub 2016 Jul 11.
3
His-bundle pacing versus biventricular pacing in cardiac resynchronization therapy patients: A crossover design comparison.
希氏束起搏与双心室起搏在心脏再同步治疗患者中的比较：一项交叉设计比较。
Heart Rhythm. 2015 Jul;12(7):1548-57. doi: 10.1016/j.hrthm.2015.03.048. Epub 2015 Mar 28.
4
Acute His-Bundle Injury Current during Permanent His-Bundle Pacing Predicts Excellent Pacing Outcomes.永久希氏束起搏时的急性希氏束损伤电流预示着良好的起搏效果。
Pacing Clin Electrophysiol. 2015 May;38(5):540-6. doi: 10.1111/pace.12571. Epub 2015 Jan 14.
5
Permanent His-bundle pacing is feasible, safe, and superior to right ventricular pacing in routine clinical practice.在常规临床实践中，永久性希氏束起搏是可行、安全的，且优于右心室起搏。
Heart Rhythm. 2015 Feb;12(2):305-12. doi: 10.1016/j.hrthm.2014.10.021. Epub 2014 Oct 22.
6
Hisian area and right ventricular apical pacing differently affect left atrial function: an intra-patients evaluation.希氏束区域起搏与右心室心尖部起搏对左心房功能的影响不同：一项患者内评估。
Europace. 2014 Jul;16(7):1033-9. doi: 10.1093/europace/eut436. Epub 2014 Jan 27.
7
Biventricular pacing for atrioventricular block and systolic dysfunction.
N Engl J Med. 2013 Aug 8;369(6):579. doi: 10.1056/NEJMc1306998.
8
Permanent His-bundle pacing maintains long-term ventricular synchrony and left ventricular performance, unlike conventional right ventricular apical pacing.与传统的右心室心尖起搏不同，永久希氏束起搏能维持长期的心室同步和左心室功能。
Europace. 2013 Apr;15(4):546-53. doi: 10.1093/europace/eus313. Epub 2012 Sep 20.
9
Ventricular resynchronization therapy by direct His-bundle pacing using an internal cardioverter defibrillator.使用内置心脏复律除颤器经希氏束直接起搏实现心室再同步治疗。
Europace. 2013 Jan;15(1):83-8. doi: 10.1093/europace/eus228. Epub 2012 Aug 29.
10
His and para-His pacing in AV block: feasibility and electrocardiographic findings.房室传导阻滞时希氏束及旁希氏束起搏：可行性及心电图表现
J Interv Card Electrophysiol. 2011 Sep;31(3):255-62. doi: 10.1007/s10840-011-9565-1. Epub 2011 Apr 5.