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左束支区域起搏治疗阵发性完全性房室传导阻滞合并完全性左束支传导阻滞:一例报告

Paroxysmal Complete Atrioventricular Block With Complete Left Bundle Branch Block Treated With Left Bundle Branch Area Pacing: A Case Report.

作者信息

Tsuyuki Kiyotaka, Nishina Naoto, Tsujimoto Hiroshi

机构信息

Cardiovascular Medicine, Soseikai General Hospital, Kyoto, JPN.

Clinical Engineering, Soseikai General Hospital, Kyoto, JPN.

出版信息

Cureus. 2024 Dec 13;16(12):e75678. doi: 10.7759/cureus.75678. eCollection 2024 Dec.

Abstract

Left bundle branch area pacing (LBBAP) can effectively enhance cardiac contraction by engaging the conduction system. LBBAP, compared with right ventricular apex pacing, can reduce QRS duration and enhance left ventricular function. Consequently, LBBAP has been proposed as a viable alternative to cardiac resynchronization therapy (CRT).Here, we present a case illustrating the efficacy of the LBBAP in a patient with a complete atrioventricular block and complete left bundle branch block (CLBBB).

摘要

左束支区域起搏(LBBAP)可通过激活传导系统有效增强心脏收缩。与右心室心尖部起搏相比,LBBAP可缩短QRS波时限并增强左心室功能。因此,LBBAP已被提议作为心脏再同步治疗(CRT)的一种可行替代方案。在此,我们展示一例病例,说明LBBAP在一名患有完全性房室传导阻滞和完全性左束支传导阻滞(CLBBB)患者中的疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3948/11725406/46981fef62d5/cureus-0016-00000075678-i01.jpg

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