Department of Cardiology, Velammal Medical College hospital and research institute, Airport Ring road, Madurai -625009, Tamilnadu, India.
Cardiac Electrophysiology, Geisinger Heart Institute, Geisinger Commonwealth School of Medicine, MC 36-10, 1000 E Mountain Blvd, Wilkes-Barre, PA 18711, USA.
Card Electrophysiol Clin. 2022 Jun;14(2):191-202. doi: 10.1016/j.ccep.2021.12.011.
Left bundle branch pacing (LBBP) provides electrical and mechanical synchrony at low and stable pacing output and effectively corrects distal conduction system disease. The criteria for differentiating LBBP from LV septal pacing has not been validated in large trials. There are several electrocardiography-based and intracardiac electrogram-based criteria to confirm LBB capture. In this section, the authors review these criteria and their overall accuracy.
左束支起搏(LBBP)可在较低且稳定的起搏输出时提供电和机械同步,并有效地纠正远端传导系统疾病。在大型试验中尚未验证区分 LBBP 与 LV 间隔部起搏的标准。有几种基于心电图和心内电图的标准可用于确认 LBB 夺获。在本节中,作者回顾了这些标准及其整体准确性。