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Pacing Clin Electrophysiol. 2020 Oct;43(10):1213-1216. doi: 10.1111/pace.14054. Epub 2020 Sep 12.
2
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3
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本文引用的文献

1
Long-term Follow-up of Epicardial Pacing and Left Ventricular Dysfunction in Children With Congenital Heart Block.心外膜起搏与先天性心脏传导阻滞患儿左心功能障碍的长期随访。
Ann Thorac Surg. 2020 Jun;109(6):1913-1920. doi: 10.1016/j.athoracsur.2019.09.063. Epub 2019 Nov 9.
2
Indications for Cardiac Resynchronization Therapy: A Comparison of the Major International Guidelines.心脏再同步治疗适应证：主要国际指南比较。
JACC Heart Fail. 2018 Apr;6(4):308-316. doi: 10.1016/j.jchf.2018.01.022.
3
PACES/HRS Expert Consensus Statement on the Recognition and Management of Arrhythmias in Adult Congenital Heart Disease: developed in partnership between the Pediatric and Congenital Electrophysiology Society (PACES) and the Heart Rhythm Society (HRS). Endorsed by the governing bodies of PACES, HRS, the American College of Cardiology (ACC), the American Heart Association (AHA), the European Heart Rhythm Association (EHRA), the Canadian Heart Rhythm Society (CHRS), and the International Society for Adult Congenital Heart Disease (ISACHD).成人先天性心脏病心律失常识别与管理的PACES/HRS专家共识声明：由儿科与先天性电生理学会（PACES）和心律学会（HRS）合作制定。得到了PACES、HRS、美国心脏病学会（ACC）、美国心脏协会（AHA）、欧洲心律协会（EHRA）、加拿大心律协会（CHRS）以及国际成人先天性心脏病学会（ISACHD）管理机构的认可。
Heart Rhythm. 2014 Oct;11(10):e102-65. doi: 10.1016/j.hrthm.2014.05.009. Epub 2014 May 9.
4
The role of cardiac resynchronization therapy for arterial switch operations complicated by complete heart block.心脏再同步治疗在完全性心脏传导阻滞合并动脉调转手术中的作用。
Ann Thorac Surg. 2013 Sep;96(3):904-9. doi: 10.1016/j.athoracsur.2013.05.082. Epub 2013 Aug 8.
5
2013 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy: the Task Force on cardiac pacing and resynchronization therapy of the European Society of Cardiology (ESC). Developed in collaboration with the European Heart Rhythm Association (EHRA).2013年欧洲心脏病学会（ESC）心脏起搏与心脏再同步治疗指南：欧洲心脏病学会（ESC）心脏起搏与再同步治疗特别工作组。与欧洲心律协会（EHRA）合作制定。
Eur Heart J. 2013 Aug;34(29):2281-329. doi: 10.1093/eurheartj/eht150. Epub 2013 Jun 24.
6
Beneficial effects of right ventricular non-apical vs. apical pacing: a systematic review and meta-analysis of randomized-controlled trials.右心室非心尖部与心尖部起搏的有益作用：随机对照试验的系统评价和荟萃分析。
Europace. 2012 Jan;14(1):81-91. doi: 10.1093/europace/eur240. Epub 2011 Jul 27.
7
Cardiac resynchronisation therapy in paediatric and congenital heart disease: differential effects in various anatomical and functional substrates.小儿及先天性心脏病的心脏再同步治疗：在不同解剖和功能基质中的差异效应
Heart. 2009 Jul;95(14):1165-71. doi: 10.1136/hrt.2008.160465. Epub 2009 Mar 22.
8
Predictors of left ventricular remodelling and failure in right ventricular pacing in the young.年轻患者右心室起搏时左心室重构及衰竭的预测因素
Eur Heart J. 2009 May;30(9):1097-104. doi: 10.1093/eurheartj/ehp060. Epub 2009 Mar 12.
9
Cardiac resynchronization therapy (and multisite pacing) in pediatrics and congenital heart disease: five years experience in a single institution.儿科和先天性心脏病中的心脏再同步治疗（及多部位起搏）：单一机构的五年经验
J Cardiovasc Electrophysiol. 2009 Jan;20(1):58-65. doi: 10.1111/j.1540-8167.2008.01274.x. Epub 2008 Sep 3.
10
Dual-chamber epicardial pacing in neonates with congenital heart block.先天性心脏传导阻滞新生儿的双腔心外膜起搏
J Thorac Cardiovasc Surg. 2007 Nov;134(5):1188-92. doi: 10.1016/j.jtcvs.2007.04.049.

经室间隔心肌穿孔途径行右心室间隔部起搏治疗心脏术后传导阻滞伴心功能不全患儿的心脏再同步化。

Right ventricular septal pacing via transmural approach for resynchronization in a child with postoperative heart block.

机构信息

Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

出版信息

Pacing Clin Electrophysiol. 2020 Oct;43(10):1213-1216. doi: 10.1111/pace.14054. Epub 2020 Sep 12.

DOI:10.1111/pace.14054
PMID:32885843
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7584390/
Abstract

An infant with transposition of the great arteries was paced for postoperative heart block (single-site, right ventricular [RV] epicardial). She developed severe left ventricular (LV) dysfunction and septal dyskinesis. Resynchronization was performed at the age of 4 with an LV epicardial lead and an RV septal endocardial lead. The endocardial lead was affixed to the interventricular septum, then tunneled through the RV free wall and attached to an abdominal pulse generator. QRS duration decreased (176 to 122 ms) and LV ejection fraction improved (26 to 61%) and remained stable for 8 years. We present a case of successful resynchronization in congenital heart disease using a transmural RV septal lead.

摘要

一名患有大动脉转位的婴儿因术后心脏传导阻滞（单点，右心室 [RV] 心外膜）而接受起搏治疗。她出现严重的左心室（LV）功能障碍和室间隔运动障碍。在 4 岁时，使用 LV 心外膜导联和 RV 间隔心内膜导联进行了再同步化治疗。心内膜导联固定在室间隔上，然后通过 RV 游离壁隧道，并连接到腹部脉冲发生器。QRS 时限缩短（176 至 122ms），LV 射血分数改善（26 至 61%），并稳定 8 年。我们介绍了一例使用经室间隔 RV 心内膜导联成功治疗先天性心脏病的再同步化病例。