冠状动脉疾病对永久左束枝区域节奏的患者的影响:一项回顾性研究
Yu Shan1,2, Maoning Lin1,2, Miao Ye3
1Department of Cardiology, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, No 3 East of Qinchun Road, Hangzhou, Zhejiang, 310000, China.
Heliyon
|January 25, 2024
概括
冠状动脉疾病 (CAD) 显著增加了捕获值在左捆分支区域节奏 (LBBaP). 没有CAD的患者可能会经历更安全的LBBaP参数,这表明CAD是增加捕获值的危险因素.
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:
- 心肌缺血会影响传统的节奏参数.
- 冠状动脉疾病 (CAD) 对左束支部区域节奏 (LBBaP) 的影响尚不清楚.
- LBBaP是一种生理节奏方法.
研究的目的:
- 调查CAD是否影响LBBaP的节奏参数和电生理学特征.
- 为了确定CAD是否与LBBaP设置的变化有关.
主要方法:
- 176名接受LBBaP治疗的患者根据冠状动脉血管学分为CAD和非CAD组.
- 在LBBaP植入过程中记录了节奏参数和电生理学特征.
- 多变量后勤回归分析了CAD和更高的捕获值之间的关联.
主要成果:
- 与非CAD患者 (n = 115,0.67 ± 0.22 V) 相比,CAD患者 (n = 61) 的捕获值 (0.82 ± 0.28 V) 更高.
- CAD独立地与更高的捕获值 (aOR 3.418) 相关.
- 患有CAD的患者表现出较低的R波幅 (10.1 ± 2.7 mV与12.5 ± 4.8 mV).
结论:
- 没有CAD的患者在LBBaP期间可能具有更安全的节奏参数.
- 在永久的LBBaP中,CAD似乎是增加捕获值的风险因素.
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