Ezzeddine Fatima, Dandamudi Gopi
Indiana University School of Medicine, Indianapolis, IN.
J Innov Card Rhythm Manag. 2017 Apr 15;8(4):2666-2672. doi: 10.19102/icrm.2017.080404. eCollection 2017 Apr.
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.
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。