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右心室间隔起搏：一种范式转变。

Right Ventricular Septal Pacing: A Paradigm Shift.

作者信息

Worsnick Sarah A, Sharma Parikshit S, Vijayaraman Pugazhendhi

机构信息

Geisinger Heart Institute, Wilkes Barre, PA, USA.

Rush University Medical Center, Chicago, IL, USA.

出版信息

J Innov Card Rhythm Manag. 2018 May 15;9(5):3137-3146. doi: 10.19102/icrm.2018.090501. eCollection 2018 May.

DOI:10.19102/icrm.2018.090501
PMID:32494491
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7252807/
Abstract

The right ventricular (RV) apex has been considered to be the primary site for ventricular lead implantation since the original descriptions of permanent pacing. However, long-term RV apical pacing has been shown to have negative effects on ventricular function and hemodynamics as a result of ventricular dyssynchrony. Alternative sites of ventricular pacing, particularly the RV septum and His bundle, have been evaluated for patients with a need for long-term ventricular pacing. In this article, we review the available data on the use of these alternative sites for RV pacing.

摘要

自永久性起搏首次被描述以来，右心室（RV）心尖一直被认为是心室导线植入的主要部位。然而，长期的RV心尖起搏已被证明，由于心室不同步，会对心室功能和血流动力学产生负面影响。对于需要长期心室起搏的患者，已经对心室起搏的替代部位进行了评估，特别是RV间隔和希氏束。在本文中，我们回顾了关于使用这些RV起搏替代部位的现有数据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25fe/7252807/549278f24b6a/icrm-09-3137-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25fe/7252807/5df0aad0ffb0/icrm-09-3137-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25fe/7252807/a53e17eda31d/icrm-09-3137-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25fe/7252807/509724f003c0/icrm-09-3137-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25fe/7252807/549278f24b6a/icrm-09-3137-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25fe/7252807/5df0aad0ffb0/icrm-09-3137-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25fe/7252807/a53e17eda31d/icrm-09-3137-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25fe/7252807/509724f003c0/icrm-09-3137-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25fe/7252807/549278f24b6a/icrm-09-3137-g004.jpg

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2
Permanent His bundle pacing: Electrophysiological and echocardiographic observations from long-term follow-up.永久性希氏束起搏：长期随访的电生理和超声心动图观察
Pacing Clin Electrophysiol. 2017 Jul;40(7):883-891. doi: 10.1111/pace.13130. Epub 2017 Jun 30.
3
Incidence and predictors of right ventricular pacing-induced cardiomyopathy in patients with complete atrioventricular block and preserved left ventricular systolic function.
使用输送导管为孤立性永存左上腔静脉患者植入起搏器：一例报告
Eur Heart J Case Rep. 2024 Jan 23;8(2):ytae031. doi: 10.1093/ehjcr/ytae031. eCollection 2024 Feb.
4
Conduction system pacing: how far are we from the "electrical" bypass?传导系统起搏：我们离“电旁路”还有多远？
Heart Fail Rev. 2024 Jan;29(1):45-63. doi: 10.1007/s10741-023-10349-8. Epub 2023 Sep 30.
5
Differences in Electrical Delay Between the Mid-septum and Apex with the Right Ventricular Lead: Novel Implications for Pacemaker Sensing.右心室导线所致室间隔中部与心尖部电延迟的差异：对起搏器感知的新启示
J Innov Card Rhythm Manag. 2023 Mar 15;14(3):5372-5378. doi: 10.19102/icrm.2023.14034. eCollection 2023 Mar.
6
Real-time echocardiographic guidance for confirming septal placement of right ventricular leads: A pilot study.实时超声心动图引导用于确认右心室导线的间隔放置：一项初步研究。
J Arrhythm. 2021 May 6;37(3):703-708. doi: 10.1002/joa3.12539. eCollection 2021 Jun.
7
New Frontiers in Ventricular Pacing.心室起搏的新前沿
J Innov Card Rhythm Manag. 2018 May 15;9(5):3148-3149. doi: 10.19102/icrm.2018.090503. eCollection 2018 May.
完全性房室传导阻滞且左心室收缩功能正常患者右心室起搏诱发心肌病的发生率及预测因素
Heart Rhythm. 2016 Dec;13(12):2272-2278. doi: 10.1016/j.hrthm.2016.09.027.
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Right ventricular outflow tract septal pacing is superior to right ventricular apical pacing.右心室流出道间隔起搏优于右心室心尖部起搏。
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