在老年患者症状性心房动的单一程序方法中,左束支部区域加速和心房节点切除,用于老年患者
Jesse H J Rijks1, Theo Lankveld1,2, Randolph Manusama1,2
1Department of Cardiology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Centre (MUMC+), 6229 HX Maastricht, The Netherlands.
Journal of clinical medicine
|June 28, 2023
概括
左束支部区域节奏结合AV节点切除是老年患者有症状心房动的安全和可行的单一手术. 这种方法提供了生理节奏,潜在地避免了异步.
科学领域:
- 心脏病学 心脏病学
- 电力生理学 电力生理学
- 医疗器械 医疗器械
背景情况:
- 永久心脏起器和AV节点除 (pace-and-ablate) 是老年人症状性心房的标准.
- 左捆分支区域节奏 (LBBAP) 提供生理节奏,可能减轻RV节奏诱导的异步.
研究的目的:
- 在老年患者中研究在单一程序中执行LBBAP和AV节点切除的可行性和安全性.
- 评估这种综合方法的并发症和稳定性.
主要方法:
- 包括连续的老年患者,有症状的心房动,经历了节奏和消化.
- 进行LBBAP和AV结节切除作为单一手术.
- 术后监测了与手术相关的并发症和稳定性.
主要成果:
- 25名老年患者 (平均年龄为79.2岁) 接受了成功的LBBAP.
- 在88%的患者中,AV结节切除同时进行.
- 没有观察到与程序相关的并发症或稳定性问题.
结论:
- 单一程序的LBBAP与AV结节切除相结合,在患有症状性心房的老年患者中是可行的和安全的.
- 这种方法可能为这种患者群体提供一种生理节奏替代方案.
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