对再同步和纵向收缩功能的有效性,比较His捆绑节奏与传统的双心脏节奏:His替代研究的副研究
E V Højgaard1, B T Philbert1, J J Linde1
1Department of Cardiology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
European heart journal. Cardiovascular Imaging
|July 25, 2023
概括
他的捆绑节奏 (His-CRT) 和双心室CRT (BiV-CRT) 同样改善了心脏衰竭患者的机械失调和收缩功能. 这两种节拍方法对这些患者提供了相似的好处.
科学领域:
- 心脏病学 心脏病学
- 电力生理学 电力生理学
- 心脏衰竭管理的管理
背景情况:
- 他的捆绑节奏 (His-CRT) 是心脏再同步治疗 (CRT) 的新兴技术.
- 有限的数据存在,比较His-CRT与传统的双心脏CRT (BiV-CRT).
- 对机械失调和纵向收缩功能的比较影响尚不清楚.
研究的目的:
- 为了比较His-CRT与BiV-CRT对机械异步的影响.
- 评估His-CRT与BiV-CRT对纵向收缩功能的影响.
- 评估植入后心脏功能的区域和全球变化.
主要方法:
- 对心力衰竭患者的随机试验,LVEF ≤35%,和LBBB.
- 患者被随机分配到他的CRT或BiV-CRT.
- 二维应变回声心脏图用于评估基线和6个月的机械失调和纵向应变.
主要成果:
- 无论是His-CRT还是BiV-CRT都显著减少了机械失调.
- 在His-CRT和BiV-CRT组中,全球纵向菌株改善.
- 两组之间没有观察到机械失调或全球纵向应变的显著差异.
结论:
- 在患有LBBB的心力衰竭的患者中,His-CRT和BiV-CRT的疗效相似.
- 这两种节奏策略都导致机械失调的类似改善.
- 纵向收缩功能同样被His-CRT和BiV-CRT增强.
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