左捆分支与他的捆绑步调之间的步调性能和临床结果的比较
Eugene S J Tan1, Rodney Soh2, Elaine Boey3
1Department of Cardiology, National University Heart Centre, Singapore; Yong Loo Lin School of Medicine, National University Singapore.
JACC. Clinical electrophysiology
|August 9, 2023
概括
与His-bundle pacing (HBP) 相比,左捆分支节奏 (LBBP) 提供了优越的节奏性能和可靠性. 由于改善了结果,建议LBBP作为首选的第一线导电系统步调模式.
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:
- 左束枝节奏 (LBBP) 和His-bundle节奏 (HBP) 是生理心室激活的方法.
- 导电系统节奏 (CSP) 旨在模仿自然的心脏电导.
研究的目的:
- 将LBBP与HBP的可行性,设备性能和临床结果进行比较.
- 确定首选的第一线CSP模式.
主要方法:
- 从2018年至2021年,对282名成功接受CSP (119名HBP,163名LBBP) 的患者进行前性研究.
- 主要终点:最佳的设备性能 (节奏值<2.5V,R波幅≥5V,没有CSP并发症).
- 二级终点:心力衰竭住院或因任何原因死亡的综合结果.
主要成果:
- 在LBBP和HBP之间,成功率或并发症没有显著差异.
- LBBP显示出明显更好的节奏性能 (较低的值,更高的R波幅度),并且与最佳设备性能的几率增加了9倍有关.
- 与HBP相比,LBBP显示了节奏值增加的发病率较低,以及改善无事件生存的趋势.
结论:
- LBBP和HBP具有相似的可行性和安全性.
- LBBP提供卓越的节奏性能和可靠性,以改善生存的趋势.
- LBBP应该是首选的第一线导电系统节奏模式.
相关概念视频
Dysrhythmias IV: Characteristics of Bradyarrhythmias
12
Bradyarrhythmias are cardiac rhythm disorders characterized by a slower-than-normal heart rate, typically defined as fewer than 60 beats per minute. Some of which are discussed here:Sinus BradycardiaSinus bradycardia presents a heart rate lower than 60 beats per minute, with a regular rhythm originating from the SA node. The ECG typically shows normal P waves preceding each QRS complex, a normal PR interval (0.12 to 0.20 seconds), and a normal QRS duration (0.06 to 0.10 seconds).First-Degree AV...
12
Pathophysiology of Cardiac Performance
703
Typical heart performance is influenced by heart rate, rhythm, myocardial contraction, and metabolism or blood flow. The cardiac muscle exhibits distinct electrophysiological features, including pacemaker activity and calcium channel control, which play a vital role in the heart's response to various drugs. The autonomic nervous system, comprising the sympathetic and parasympathetic branches, regulates heart rate. Sympathetic activation increases heart rate, while parasympathetic activation...
703
Imbalances in Cardiac Output
1.4K
The heart's primary function is to pump blood throughout the body, maintaining a balance between blood sent out (cardiac output) and blood returning (venous return). If this balance is disrupted, it can result in congestive heart failure (CHF), a severe condition where the heart becomes an inefficient pump, leading to inadequate blood circulation.
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
1.4K
Cardiac Catheterization III: Left Heart Catheterization
58
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
58


