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心力衰竭合并左束支传导阻滞患者的永久性双束支起搏

Permanent Bi-Bundle Pacing in a Patient With Heart Failure and Left Bundle Branch Block.

作者信息

Vezi Brian, Akinrimisi Olumuyiwa P

机构信息

Gateway Hospital, Umhlanga, South Africa.

University of California, Los Angeles Medical Center, Los Angeles, California, USA.

出版信息

JACC Case Rep. 2022 Dec 21;4(24):101688. doi: 10.1016/j.jaccas.2022.101688.

DOI:10.1016/j.jaccas.2022.101688
PMID:36684035
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9847235/
Abstract

Left bundle branch pacing (LBBP) is effective in patients with heart failure, left ventricular ejection fraction (LVEF) of ≤35%, and a widened QRS complex. LBBP leads to iatrogenic incomplete right bundle branch block (iRBBB). Bi-bundle pacing can resolve iRBBB, further narrowing the QRS duration, and may improve LVEF. ().

摘要

左束支起搏（LBBP）对心力衰竭、左心室射血分数（LVEF）≤35%且QRS波增宽的患者有效。LBBP会导致医源性不完全性右束支传导阻滞（iRBBB）。双束支起搏可解决iRBBB，进一步缩窄QRS时限，并可能改善LVEF。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47bd/9847235/9b947766e4cd/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47bd/9847235/1ecddd58081a/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47bd/9847235/646aef6ab090/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47bd/9847235/3e2cca5c2cfe/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47bd/9847235/82489375a121/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47bd/9847235/6b4ae907db96/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47bd/9847235/c8e9da2a9d85/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47bd/9847235/9b947766e4cd/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47bd/9847235/1ecddd58081a/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47bd/9847235/646aef6ab090/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47bd/9847235/3e2cca5c2cfe/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47bd/9847235/82489375a121/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47bd/9847235/6b4ae907db96/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47bd/9847235/c8e9da2a9d85/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47bd/9847235/9b947766e4cd/gr6.jpg

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本文引用的文献

1
ECG and Pacing Criteria for Differentiating Conduction System Pacing from Myocardial Pacing.区分传导系统起搏与心肌起搏的心电图及起搏标准
Arrhythm Electrophysiol Rev. 2021 Oct;10(3):172-180. doi: 10.15420/aer.2021.26.
2
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.
3
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.
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Electrocardiographic parameters predict super-response in cardiac resynchronization therapy.心电图参数可预测心脏再同步治疗中的超反应。
J Electrocardiol. 2015 Jul-Aug;48(4):593-600. doi: 10.1016/j.jelectrocard.2015.04.019. Epub 2015 May 1.
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QRS narrowing is associated with reverse remodeling in patients with chronic right ventricular pacing upgraded to cardiac resynchronization therapy.QRS 波变窄与慢性右心室起搏升级为心脏再同步治疗患者的逆向重构有关。
Heart Rhythm. 2013 Jan;10(1):55-60. doi: 10.1016/j.hrthm.2012.09.018. Epub 2012 Sep 18.
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Non-responders to cardiac resynchronization therapy: the magnitude of the problem and the issues.心脏再同步治疗无反应者：问题的严重程度和问题所在。
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Cardiac-resynchronization therapy for the prevention of heart-failure events.心脏再同步治疗预防心力衰竭事件
N Engl J Med. 2009 Oct 1;361(14):1329-38. doi: 10.1056/NEJMoa0906431. Epub 2009 Sep 1.