Maass Alexander H, Tuinenburg Anton, Mairuhu Gideon, Faes Miriam C, Klinkenberg Theo J, Ruigrok Sanne, Koster Marjolein, Stegeman Bernardine H, Luermans Justin G L M
Department of Cardiology, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands.
Department of Cardiology, University Medical Centre Utrecht, Utrecht, The Netherlands.
Neth Heart J. 2025 Feb;33(2):38-45. doi: 10.1007/s12471-024-01927-y. Epub 2025 Jan 21.
The European Society of Cardiology (ESC) has updated its guidelines on cardiac pacing and cardiac resynchronisation. As the majority are class II recommendations (61%) and based on expert opinion (59%), a critical appraisal for the Dutch situation was warranted. A working group has been established, consisting of specialists in cardiology, cardiothoracic surgery, geriatrics, allied professionals in cardiac pacing, and patient organisations with support from the Knowledge Institute of the Dutch Association of Medical Specialists. They assessed the evidence leading to the recommendations and the suitability for daily Dutch practice. Several recommendations have been amended or omitted altogether if a conflicting Dutch guideline has recently been published, such as a guideline on performing magnetic resonance imaging in patients with cardiac implantable electronic devices. The recent Dutch guideline on implantable cardioverter defibrillator implantation in patients with non-ischaemic cardiomyopathy has recommended implanting cardiac resynchronisation therapy devices without a defibrillator function. Shared decision making has received a more prominent role in the ESC guidelines and is discussed in more detail in this document. The recommendations given in this document are intended for health care professionals involved in the care of patients with an indication for cardiac pacing and are approved by the participating professional societies and the patient organisation Harteraad.
欧洲心脏病学会（ESC）已更新其心脏起搏与心脏再同步治疗指南。由于大多数建议为II类推荐（61%）且基于专家意见（59%），因此有必要对荷兰的情况进行批判性评估。已成立一个工作组，成员包括心脏病学、心胸外科、老年医学专家、心脏起搏相关专业人员以及在荷兰医学专家协会知识研究所支持下的患者组织。他们评估了形成这些建议的证据以及对荷兰日常实践的适用性。如果最近发布了相互冲突的荷兰指南，例如关于对植入心脏可植入电子设备患者进行磁共振成像检查的指南，一些建议已被修改或完全省略。荷兰最近关于非缺血性心肌病患者植入植入式心律转复除颤器的指南建议植入无除颤功能的心脏再同步治疗设备。共同决策在ESC指南中发挥了更突出的作用，本文对此进行了更详细的讨论。本文给出的建议适用于参与有心脏起搏指征患者护理的医疗保健专业人员，并得到了参与的专业协会和患者组织Harteraad的认可。
