左バンドル支部領域のペース設定中にアノダルキャプチャによるダブルQRSトランジション:ケースレポート
Angelo Melpignano1, Francesco Vitali1, Luca Canovi1
1Cardiology Unit, Azienda Ospedaliero Universitaria di Ferrara, 44124 Ferrara, Italy.
Journal of cardiovascular development and disease
|August 27, 2025
まとめ
この症例報告は,1人の患者でアノダス捕獲と左束支部領域ペース (LBBAP) 誘発のQRS移行の最初の事例を詳細に説明しています. LBBAPを救済戦略として最適化するための ユニークな課題を強調しています
科学分野:
- 心臓病科
- 電気生理学
- 医療機器技術
背景:
- 独特のQRS形態を示すアノダル捕獲は,心臓再同期療法 (CRT) の既知の合併症である.
- 左ブンドルブランチエリアペース (LBBAP) は,従来のCRTインプラントの失敗後の救済戦略としてしばしば使用される新生生理学的ペーステクニックです.
- ペースのQRS形態の変化を示すQRSの移行は,LBBAPにおけるリード配置の成功を検証するために不可欠です.
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