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传导系统起搏在需要永久起搏患者中的当前作用

Current Role of Conduction System Pacing in Patients Requiring Permanent Pacing.

作者信息

Beer Dominik, Vijayaraman Pugazhendhi

机构信息

Geisinger Heart Institute, Danville, PA, USA.

Geisinger Heart Institute, Wilkes-Barre, PA, USA.

出版信息

Korean Circ J. 2024 Aug;54(8):427-453. doi: 10.4070/kcj.2024.0113. Epub 2024 May 7.

DOI:10.4070/kcj.2024.0113
PMID:38859643
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11306426/
Abstract

His bundle pacing (HBP) and left bundle branch pacing (LBBP) are novel methods of pacing directly pacing the cardiac conduction system. HBP while developed more than two decades ago, only recently moved into the clinical mainstream. In contrast to conventional cardiac pacing, conduction system pacing including HBP and LBBP utilizes the native electrical system of the heart to rapidly disseminate the electrical impulse and generate a more synchronous ventricular contraction. Widespread adoption of conduction system pacing has resulted in a wealth of observational data, registries, and some early randomized controlled clinical trials. While much remains to be learned about conduction system pacing and its role in electrophysiology, data available thus far is very promising. In this review of conduction system pacing, the authors review the emergence of conduction system pacing and its contemporary role in patients requiring permanent cardiac pacing.

摘要

希氏束起搏（HBP）和左束支起搏（LBBP）是直接起搏心脏传导系统的新型起搏方法。希氏束起搏虽然在二十多年前就已研发出来，但直到最近才进入临床主流。与传统心脏起搏不同，包括希氏束起搏和左束支起搏在内的传导系统起搏利用心脏的天然电系统来快速传播电冲动并产生更同步的心室收缩。传导系统起搏的广泛应用产生了大量的观察数据、注册研究以及一些早期的随机对照临床试验。虽然关于传导系统起搏及其在电生理学中的作用仍有许多有待了解之处，但迄今为止获得的数据非常有前景。在这篇关于传导系统起搏的综述中，作者回顾了传导系统起搏的出现及其在需要永久心脏起搏的患者中的当代作用。

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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3751/11306426/a6c919c46a58/kcj-54-427-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3751/11306426/71802415aafd/kcj-54-427-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3751/11306426/047c0006fb8c/kcj-54-427-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3751/11306426/7e92379741a8/kcj-54-427-g009.jpg
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2023 HRS/APHRS/LAHRS guideline on cardiac physiologic pacing for the avoidance and mitigation of heart failure.2023年美国心律学会/亚太心律学会/拉丁美洲心律学会关于避免和减轻心力衰竭的心脏生理性起搏指南。
J Arrhythm. 2023 Aug 2;39(5):681-756. doi: 10.1002/joa3.12872. eCollection 2023 Oct.
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