无导线起搏器的进展：第二代Micra AV2为心脏护理带来了什么。
Advancements in Leadless Pacemakers: What the Second-generation Micra AV2 Brings to Cardiac Care.
作者信息
Garweg Christophe, Willems Rik
机构信息
Department of Cardiovascular Sciences, KU Leuven, University Hospitals Leuven, Leuven, Belgium.
Cardiology, University Hospitals Leuven, Leuven, Belgium.
出版信息
Heart Int. 2024 Nov 29;18(2):4-6. doi: 10.17925/HI.2024.18.2.3. eCollection 2024.
Abstract
Leadless pacemakers are considered one of the major technological advancements in cardiology in recent years. Many efforts are made to provide physiological atrio-ventricular (AV) pacing. With the first-generation leadless ventricular, dual, dual (VDD) pacemaker, Micra AV (Medtronic, Inc., Minneapolis, MN, USA), a high variability in AV synchrony was reported. A second generation, Micra AV2, is now available for clinical use, promising smarter and higher automatic AV synchrony. This article reviews the different improvements proposed for this new device.
摘要
无导线起搏器被认为是近年来心脏病学领域的主要技术进步之一。人们为实现生理性房室（AV）起搏付出了诸多努力。第一代无导线心室双腔（VDD）起搏器Micra AV（美敦力公司，美国明尼苏达州明尼阿波利斯）被报道存在房室同步性的高度变异性。如今，第二代Micra AV2已可供临床使用，有望实现更智能、更高的自动房室同步性。本文综述了针对这款新设备提出的不同改进之处。
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本文引用的文献
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Atrioventricular Synchrony Delivered by a Dual-Chamber Leadless Pacemaker System.双腔无导线起搏器系统实现房室同步。
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A leadless ventricular pacemaker providing atrioventricular synchronous pacing in the real-world setting: 12-Month results from the Micra AV post-approval registry.无导线心室起搏器在真实世界环境中提供房室同步起搏：Micra AV 上市后注册研究的 12 个月结果。
Heart Rhythm. 2024 Oct;21(10):1939-1947. doi: 10.1016/j.hrthm.2024.06.008. Epub 2024 Jun 13.
3
Strategies to improve atrioventricular synchrony in patients with a Micra AV leadless pacemaker.改善使用 Micra AV 无导线起搏器患者房室同步的策略。
Europace. 2024 Mar 1;26(3). doi: 10.1093/europace/euae060.
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Efficacy and Safety of Leadless Pacemakers for Atrioventricular Synchronous Pacing: A Systematic Review and Meta-Analysis.无导线起搏器用于房室同步起搏的疗效与安全性：一项系统评价和Meta分析
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