Marcantoni Lina, Pastore Gianni, Biffi Mauro, Zanon Francesco
Arrhythmia and Electrophysiology Unit, Cardiology Department, Santa Maria Della Misericordia Hospital, Rovigo, Italy.
Istituto di Cardiologia, IRCCS Azienda Ospedaliero Universitaria di Bologna, Bologna, Italy.
Front Cardiovasc Med. 2023 Aug 10;10:1236369. doi: 10.3389/fcvm.2023.1236369. eCollection 2023.
Patients with symptomatic heart failure (HF) and left bundle branch block (LBBB) are currently treated with biventricular pacing (BiV) which has a Class IA recommendation. Given the possibility to re-establish the inter and intra-ventricular synchrony, BiV is commonly referred to as cardiac resynchronization therapy (CRT). This wording is widely utilized and over time the terms BiV and CRT have become interchangeable. Conduction system pacing (CSP) is emerging as a valid therapeutic opportunity to obtain CRT restoring the native conduction via the Purkinje network. Therefore the acronym CRT is no longer synonymous with BiV only but could also refer to CSP. A terminology update is needed to include the resource of CSP to ensure better communication among all the stakeholders involved in managing recipients of cardiac devices and should be a fundamental step in advancing the quality of patient care. Making use of the NBG code to describe the implantable cardiac device would ease such terminology update, since only the first three positions of the five letters NBG code are commonly utilized, while the last two are rarely used.
有症状的心力衰竭（HF）和左束支传导阻滞（LBBB）患者目前接受双心室起搏（BiV）治疗，该治疗有IA类推荐。鉴于有可能重新建立心室间和心室内同步性，BiV通常被称为心脏再同步治疗（CRT）。这种表述被广泛使用，随着时间的推移，BiV和CRT这两个术语已变得可以互换。传导系统起搏（CSP）正在成为一种有效的治疗手段，通过浦肯野网络恢复正常传导来实现CRT。因此，首字母缩写词CRT不再仅仅是BiV的同义词，也可能指CSP。需要更新术语，将CSP这一资源包括在内，以确保参与管理心脏装置接受者的所有利益相关者之间有更好的沟通，这应该是提高患者护理质量的一个基本步骤。使用NBG代码来描述植入式心脏装置将有助于这种术语更新，因为五个字母的NBG代码中通常只使用前三位，而后两位很少使用。
