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传导系统起搏的故障排除编程

Troubleshooting Programming of Conduction System Pacing.

作者信息

Bakelants Elise, Burri Haran

机构信息

Department of Cardiology, University Hospital of Geneva, Geneva, Switzerland.

出版信息

Arrhythm Electrophysiol Rev. 2021 Jul;10(2):85-90. doi: 10.15420/aer.2021.16.

DOI:10.15420/aer.2021.16
PMID:34401180
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8335852/
Abstract

Conduction system pacing (CSP) comprises His bundle pacing and left bundle branch area pacing and is rapidly gaining widespread adoption. Effective CSP not only depends on successful system implantation but also on proper device programming. Current implantable impulse generators are not specifically designed for CSP. Either single chamber, dual chamber or CRT devices can be used for CSP depending on the underlying heart rhythm (sinus rhythm or permanent atrial arrhythmia) and the aim of pacing. Different programming issues may arise depending on the device configuration. This article aims to provide an update on practical considerations for His bundle and left bundle branch area pacing programming and follow-up.

摘要

传导系统起搏(CSP)包括希氏束起搏和左束支区域起搏,并且正在迅速得到广泛应用。有效的CSP不仅取决于系统植入的成功与否,还取决于合适的设备程控。目前的植入式脉冲发生器并非专门为CSP设计。根据基础心律(窦性心律或永久性房性心律失常)和起搏目的,单腔、双腔或CRT设备均可用于CSP。根据设备配置的不同,可能会出现不同的程控问题。本文旨在提供关于希氏束和左束支区域起搏程控及随访的实际注意事项的最新信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe5e/8335852/57dab79843f4/aer-10-85-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe5e/8335852/f8ed0cc2c8c6/aer-10-85-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe5e/8335852/57dab79843f4/aer-10-85-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe5e/8335852/f8ed0cc2c8c6/aer-10-85-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe5e/8335852/b634843d7122/aer-10-85-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe5e/8335852/6996f00084e4/aer-10-85-g003.jpg
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引用本文的文献

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Arrhythm Electrophysiol Rev. 2024 Sep 13;13:e14. doi: 10.15420/aer.2024.18. eCollection 2024.
2
Conduction System Pacing: Have We Finally Found the Holy Grail of Physiological Pacing?传导系统起搏:我们终于找到了生理性起搏的圣杯了吗?
Heart Int. 2023 Dec 1;17(2):2-5. doi: 10.17925/HI.2023.17.2.2. eCollection 2023.
3
Left bundle branch area pacing: "sides" does matter.左束支区域起搏:“部位”很重要。

本文引用的文献

1
Crossing of strength-duration curves with His bundle pacing and impact of pacing mode on thresholds.希氏束起搏时强度-时间曲线的交叉以及起搏模式对阈值的影响。
HeartRhythm Case Rep. 2020 Nov 28;7(2):123-126. doi: 10.1016/j.hrcr.2020.11.015. eCollection 2021 Feb.
2
His-Optimized Cardiac Resynchronization Therapy With Ventricular Fusion Pacing for Electrical Resynchronization in Heart Failure.心脏再同步治疗中优化的心脏再同步治疗伴心室融合起搏以实现心力衰竭中的电同步。
JACC Clin Electrophysiol. 2021 Jul;7(7):881-892. doi: 10.1016/j.jacep.2020.11.029. Epub 2021 Feb 24.
3
Long-Term Safety and Feasibility of Left Bundle Branch Pacing in a Large Single-Center Study.
J Interv Card Electrophysiol. 2024 Mar;67(2):239-240. doi: 10.1007/s10840-023-01702-w. Epub 2023 Dec 2.
4
Role of conduction system pacing in ablate and pace strategies for atrial fibrillation.传导系统起搏在心房颤动消融与起搏策略中的作用
Eur Heart J Suppl. 2023 Nov 9;25(Suppl G):G56-G62. doi: 10.1093/eurheartjsupp/suad119. eCollection 2023 Nov.
5
Conduction system pacing: overview, definitions, and nomenclature.传导系统起搏:概述、定义及术语
Eur Heart J Suppl. 2023 Nov 9;25(Suppl G):G4-G14. doi: 10.1093/eurheartjsupp/suad114. eCollection 2023 Nov.
6
EHRA clinical consensus statement on conduction system pacing implantation: endorsed by the Asia Pacific Heart Rhythm Society (APHRS), Canadian Heart Rhythm Society (CHRS), and Latin American Heart Rhythm Society (LAHRS).EHRA 临床共识声明:心脏起搏的心脏传导系统植入术,由亚太心律学会(APHRS)、加拿大心律学会(CHRS)和拉丁美洲心律学会(LAHRS)共同认可。
Europace. 2023 Apr 15;25(4):1208-1236. doi: 10.1093/europace/euad043.
7
Conduction System Pacing Today and Tomorrow.今日与明日的传导系统起搏
J Clin Med. 2022 Dec 7;11(24):7258. doi: 10.3390/jcm11247258.
8
Left Bundle Branch Pacing: A Perfect Compromise?左束支起搏:完美的折衷方案?
Arrhythm Electrophysiol Rev. 2021 Dec;10(4):241-243. doi: 10.15420/aer.2021.60.
大型单中心研究中的左束支起搏的长期安全性和可行性。
Circ Arrhythm Electrophysiol. 2021 Feb;14(2):e009261. doi: 10.1161/CIRCEP.120.009261. Epub 2021 Jan 9.
4
Intermediate-term performance and safety of His-bundle pacing leads: A single-center experience.希氏束起搏导线的中期性能和安全性:单中心经验。
Heart Rhythm. 2021 May;18(5):743-749. doi: 10.1016/j.hrthm.2020.12.031. Epub 2021 Jan 5.
5
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.
6
Electrocardiographic Analysis for His Bundle Pacing at Implantation and Follow-Up.心脏希氏束起搏植入时和随访的心电图分析。
JACC Clin Electrophysiol. 2020 Jul;6(7):883-900. doi: 10.1016/j.jacep.2020.03.005.
7
Electrical parameters with His-bundle pacing: Considerations for automated programming.希氏束起搏的电参数:自动程控的考虑因素。
Heart Rhythm. 2019 Dec;16(12):1817-1824. doi: 10.1016/j.hrthm.2019.07.035. Epub 2019 Aug 1.
8
His bundle has a shorter chronaxie than does the adjacent ventricular myocardium: Implications for pacemaker programming.希氏束的时程短于毗邻的心室肌:对起搏器程控的影响。
Heart Rhythm. 2019 Dec;16(12):1808-1816. doi: 10.1016/j.hrthm.2019.06.001. Epub 2019 Jun 8.
9
Device Programming for His Bundle Pacing.希氏束起搏的器械程控
Circ Arrhythm Electrophysiol. 2019 Feb;12(2):e006816. doi: 10.1161/CIRCEP.118.006816.
10
Novel Method for Assessment of His Bundle Pacing Morphology Using Near Field and Far Field Device Electrograms.应用近场和远场设备电图评估希氏束起搏形态的新方法。
Circ Arrhythm Electrophysiol. 2019 Feb;12(2):e006878. doi: 10.1161/CIRCEP.118.006878.