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对于一名患有左束支传导阻滞、左心室功能障碍且因经导管主动脉瓣置入术导致完全性房室传导阻滞的患者，希氏束起搏可作为心脏再同步治疗的替代方案。

His-bundle pacing as an alternative to CRT in a patient with left bundle branch block, left ventricular dysfunction, and TAVI-induced complete AV block.

作者信息

Silva Cunha Pedro, Pais João, Oliveira Mário Martins

机构信息

Arrhythmology, Pacing and Electrophysiology Unit Cardiology Service, Santa Marta Hospital Central Lisbon Hospital University Center Lisbon Portugal.

出版信息

Clin Case Rep. 2021 Mar 6;9(4):2245-2248. doi: 10.1002/ccr3.4000. eCollection 2021 Apr.

DOI:10.1002/ccr3.4000
PMID:33936673
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8077332/
Abstract

Our clinical case supports the effectiveness of distal His-Bundle pacing in obtaining ventricular resynchronization in patients with LBBB and left ventricular dysfunction, particularly in the context of post-TAVI conduction disturbances.

摘要

我们的临床病例支持在患有左束支传导阻滞和左心室功能障碍的患者中，特别是在经导管主动脉瓣置换术后传导障碍的情况下，远端希氏束起搏在实现心室再同步化方面的有效性。

相似文献

1
His-bundle pacing as an alternative to CRT in a patient with left bundle branch block, left ventricular dysfunction, and TAVI-induced complete AV block.对于一名患有左束支传导阻滞、左心室功能障碍且因经导管主动脉瓣置入术导致完全性房室传导阻滞的患者，希氏束起搏可作为心脏再同步治疗的替代方案。
Clin Case Rep. 2021 Mar 6;9(4):2245-2248. doi: 10.1002/ccr3.4000. eCollection 2021 Apr.
2
Electrocardiographic predictors of successful resynchronization of left bundle branch block by His bundle pacing.心电图预测希氏束起搏对左束支传导阻滞的同步化治疗效果。
J Cardiovasc Electrophysiol. 2021 Feb;32(2):428-438. doi: 10.1111/jce.14845. Epub 2021 Jan 4.
3
Case report: A complex case of valve-in-valve TAVI and left bundle branch pacing for severe aortic regurgitation with partially corrected type A aortic dissection and low ejection fraction.病例报告：一例复杂的经导管主动脉瓣置入术（TAVI）联合左束支起搏治疗严重主动脉瓣反流合并部分矫正型A型主动脉夹层及低射血分数的病例。
Front Cardiovasc Med. 2023 Aug 10;10:1206811. doi: 10.3389/fcvm.2023.1206811. eCollection 2023.
4
Cardiac Resynchronization Therapy in Patients With Nonischemic Cardiomyopathy Using Left Bundle Branch Pacing.左束支区域起搏治疗非缺血性心肌病患者的心脏再同步治疗。
JACC Clin Electrophysiol. 2020 Jul;6(7):849-858. doi: 10.1016/j.jacep.2020.04.011.
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Cardiac resynchronization therapy by left bundle branch area pacing in patients with heart failure and left bundle branch block.左束支区域起搏治疗心力衰竭伴左束支传导阻滞患者的心脏再同步治疗。
Heart Rhythm. 2019 Dec;16(12):1783-1790. doi: 10.1016/j.hrthm.2019.09.006. Epub 2019 Sep 9.
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Intracardiac Delineation of Septal Conduction in Left Bundle-Branch Block Patterns.左束支传导阻滞图形中心内区分室间隔传导
Circulation. 2019 Apr 16;139(16):1876-1888. doi: 10.1161/CIRCULATIONAHA.118.038648.
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The Emerging Role of Cardiac Conduction System Pacing as a Treatment for Heart Failure.心脏传导系统起搏在心力衰竭治疗中的新兴作用。
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Cardiac resynchronization therapy via left bundle branch pacing vs. optimized biventricular pacing with adaptive algorithm in heart failure with left bundle branch block: a prospective, multi-centre, observational study.左束支区域起搏与优化的双心室起搏伴自适应算法治疗左束支传导阻滞心力衰竭：一项前瞻性、多中心、观察性研究。
Europace. 2022 May 3;24(5):807-816. doi: 10.1093/europace/euab249.
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A Randomized Trial of His Pacing Versus Biventricular Pacing in Symptomatic HF Patients With Left Bundle Branch Block (His-Alternative).希氏束起搏与双心室起搏治疗左束支传导阻滞伴症状性心力衰竭患者的随机试验（希氏束起搏替代）。
JACC Clin Electrophysiol. 2021 Nov;7(11):1422-1432. doi: 10.1016/j.jacep.2021.04.003. Epub 2021 Apr 25.
10
His-Optimized and Left Bundle Branch-Optimized Cardiac Resynchronization Therapy: In Control of Fusion Pacing.他优化的和左束支优化的心脏再同步治疗：控制融合起搏。
Card Electrophysiol Clin. 2022 Jun;14(2):311-321. doi: 10.1016/j.ccep.2021.12.006. Epub 2022 May 23.

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J Clin Med. 2022 Aug 16;11(16):4782. doi: 10.3390/jcm11164782.

本文引用的文献

1
His-Purkinje Conduction System Pacing: State of the Art in 2020.希氏-浦肯野传导系统起搏：2020年的最新进展
Arrhythm Electrophysiol Rev. 2020 Nov;9(3):136-145. doi: 10.15420/aer.2020.14.
2
His Bundle Pacing: A New Strategy for Physiological Ventricular Activation.希氏束起搏：生理性心室激动的新策略。
J Am Heart Assoc. 2019 Mar 19;8(6):e010972. doi: 10.1161/JAHA.118.010972.
3
His Resynchronization Versus Biventricular Pacing in Patients With Heart Failure and Left Bundle Branch Block.心力衰竭伴左束支传导阻滞患者的再同步化治疗与双心室起搏。
J Am Coll Cardiol. 2018 Dec 18;72(24):3112-3122. doi: 10.1016/j.jacc.2018.09.073.
4
Transcatheter aortic valve implantation: current status and future perspectives.经导管主动脉瓣植入术：现状与未来展望。
Eur Heart J. 2018 Jul 21;39(28):2625-2634. doi: 10.1093/eurheartj/ehy244.
5
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。
Can J Cardiol. 2017 Dec;33(12):1736.e1-1736.e3. doi: 10.1016/j.cjca.2017.09.013. Epub 2017 Sep 22.
6
Conduction Disturbances After Transcatheter Aortic Valve Replacement: Current Status and Future Perspectives.经导管主动脉瓣置换术后传导障碍：现状与未来展望。
Circulation. 2017 Sep 12;136(11):1049-1069. doi: 10.1161/CIRCULATIONAHA.117.028352.
7
Usefulness of His Bundle Pacing to Achieve Electrical Resynchronization in Patients With Complete Left Bundle Branch Block and the Relation Between Native QRS Axis, Duration, and Normalization.希氏束起搏在完全性左束支传导阻滞患者中实现电再同步的效用以及固有QRS轴、时限与正常化之间的关系
Am J Cardiol. 2016 Aug 15;118(4):527-34. doi: 10.1016/j.amjcard.2016.05.049. Epub 2016 May 28.
8
Percutaneous transcatheter implantation of an aortic valve prosthesis for calcific aortic stenosis: first human case description.经皮导管植入主动脉瓣假体治疗钙化性主动脉瓣狭窄：首例人体病例描述。
Circulation. 2002 Dec 10;106(24):3006-8. doi: 10.1161/01.cir.0000047200.36165.b8.