Bai Rong, Shen Caijie, Tung Roderick
Division of Cardiology, The University of Arizona College of Medicine-Phoenix, Banner University Medical Center Phoenix, Phoenix, AZ, USA.
Division of Cardiology, The University of Arizona College of Medicine-Phoenix, Banner University Medical Center Phoenix, Phoenix, AZ, USA; Department of Cardiology, Arrhythmia Center, The First Affiliated Hospital of Ningbo University, Ningbo, China.
Card Electrophysiol Clin. 2025 Mar;17(1):75-86. doi: 10.1016/j.ccep.2024.10.004. Epub 2024 Dec 3.
Atrioventricular nodal ablation (AVNA) represents a critical intervention in the management of refractory atrial fibrillation (AF) and heart failure (HF). When combined with biventricular pacing or conduction system pacing, particularly His bundle pacing and left bundle branch area pacing, this strategy offers distinct and complementary benefits. While each pacing modality presents unique advantages and potential limitations, their combination with AVNA offers a comprehensive and individualized treatment strategy for addressing associated HF. This integrated approach can enhance symptom control, improve hemodynamic performance, and contribute to better long-term outcomes in patients with advanced HF and AF.
房室结消融术（AVNA）是难治性心房颤动（AF）和心力衰竭（HF）管理中的一项关键干预措施。当与双心室起搏或传导系统起搏，特别是希氏束起搏和左束支区域起搏相结合时，该策略具有独特且互补的益处。虽然每种起搏方式都有其独特的优势和潜在局限性，但它们与AVNA相结合，为解决相关的HF提供了一种全面且个性化的治疗策略。这种综合方法可以增强症状控制，改善血流动力学性能，并有助于改善晚期HF和AF患者的长期预后。
