心脏再同步治疗的最弱点:新技术面对旧的术语
Lina Marcantoni1, Gianni Pastore1, Mauro Biffi2
1Arrhythmia and Electrophysiology Unit, Cardiology Department, Santa Maria Della Misericordia Hospital, Rovigo, Italy.
Frontiers in cardiovascular medicine
|August 28, 2023
概括
使用双心室节奏 (BiV) 的心脏再同步疗法 (CRT) 是心力衰竭 (HF) 和左捆支部阻塞 (LBBB) 的标准. 导电系统步调 (CSP) 现在提供了替代CRT方法,需要更新术语.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 医疗器械技术 医疗器械技术
背景情况:
- 症状性心力衰竭 (HF) 与左捆分支阻塞 (LBBB) 目前通过双心室节奏 (BiV),一种心脏再同步治疗 (CRT) 的形式进行管理.
- BiV旨在恢复HF患者的室内和室内同步,CRT成为BiV治疗的同义词.
- 已建立的术语可能不包括新的节奏策略.
研究的目的:
- 建议更新术语,包括传导系统步调 (CSP) 作为实现CRT的方法.
- 倡导医疗保健专业人员之间更清晰的沟通,管理心脏器械接收者.
- 通过准确反映治疗选择,提高患者护理质量.
主要方法:
- 审查当前治疗指南和术语对心脏节拍在HF和LBBB.
- 分析传导系统步调 (CSP) 在恢复本地传导中的新兴作用.
- 建议将CSP纳入CRT的定义,并使用NBG代码来描述设备.
主要成果:
- 导电系统节奏 (CSP) 为CRT提供了一种可行的替代方案,可以替代双心脏节奏 (BiV).
- 目前可互换使用的CRT和BiV正在变得过时.
- 国家银行代码系统为更新设备术语提供了一个潜在的框架.
结论:
- 术语更新对于认可CSP作为CRT模式至关重要.
- 标准化术语将改善沟通,促进心脏器械管理中的患者护理.
- 利用NBG代码可以促进这种必要的术语更新.
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