阿布拉特和节奏:导电系统节奏和双心室节奏之间的结果比较
Pietro Palmisano1, Matteo Ziacchi2, Gabriele Dell'Era3
1Cardiology Unit, "Card. G. Panico" Hospital, Tricase, Italy.
Pacing and clinical electrophysiology : PACE
|September 4, 2023
概括
导电系统节奏 (CSP),包括His-bundle节奏 (HBP) 和左捆分支区域节奏 (LBBAP),对于接受切除和节奏手术的患者来说,是双心脏节奏 (BVP) 的安全替代品. 左捆分支区域节奏显示了程序效率和设备寿命的提高.
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 医疗器械
背景情况:
- 导电系统节奏 (CSP),包括他的捆绑节奏 (HBP) 和左捆绑分支区域节奏 (LBBAP),是双心室节奏 (BVP) 的新兴替代品.
- 这些节奏方法被认为是对于需要消化和节奏 (A&P) 策略的患者.
- 这项研究评估了BVP与CSP在A&P患者的比较结果.
研究的目的:
- 在接受A&P的患者中,比较BVP和CSP之间的临床结果.
- 评估与设备相关并发症的发生率和性质.
- 为了评估心力衰竭 (HF) 住院率.
主要方法:
- 一个前性的,多中心的观察性研究.
- 连续接受A&P的患者的注册.
- 预期评估与设备相关的并发症和HF住院风险.
主要成果:
- 招募了373名患者:263名 (BVP),68名 (HBP) 和42名 (LBBAP).
- 与BVP和HBP相比,左束枝区域节奏 (LBBAP) 显示了更短的程序/光学时间和更低的急性捕获值.
- 在12个月后,LBBAP保持了较低的值和更长的电池寿命;所有组的并发症和HF住院率都相似.
结论:
- CSP是A&P的一种可行的步调选择,其中期安全性与BVP相美.
- 在程序效率和设备寿命方面,LBBAP提供了优势.
- 在A&P策略中,CSP,特别是LBBAP,为BVP提供了可行的替代方案.
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