左捆分支区域的节奏改善了右心室功能和同步
Agnieszka Bednarek1, Grzegorz Kiełbasa1, Paweł Moskal2
1First Department of Cardiology, Interventional Electrocardiology and Hypertension, Jagiellonian University, Medical College, Krakow, Poland; Cardiology, Interventional Cardiac Electrophysiology and Arterial Hypertension Clinical Department, University Hospital, Krakow, Poland.
Heart rhythm
|May 16, 2024
概括
左捆支部区域刺激 (LBBAP) 改善了右心室 (RV) 功能,特别是在基线隔膜异常的患者中. 然而,基底LBBAP放置可能与三腹吐 (TR) 的恶化有关.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 心脏节拍是因为心脏节拍.
背景情况:
- 左束支部区域节奏 (LBBAP) 对右心室 (RV) 功能和三回 (TR) 的长期影响尚不清楚.
- 评估这些影响对于优化节奏策略至关重要.
研究的目的:
- 评估LBBAP对RV性能和TR的长期影响.
- 为了确定RV功能改善和LBBAP后TR进展的预测因素.
主要方法:
- 通过RV自由壁应变,三状环状平面缩外流,部分面积变化和侧面三状环状缩速度评估RV功能.
- 通过反向隔膜闪光 (RSF) 和基底凸出 (BB) 的存在来评估RV运动模式.
- 测量了-TV距离,以评估与三管环的距离.
主要成果:
- 在122名患者 (平均年龄76.5岁) 中,随访时间中位数为21个月,RV无壁菌株在LBBAP后显著改善.
- 左心室喷射分数预测改善了RV功能.
- 大多数患者的RSF和BB都消失了,在基线RSF患者中,VR功能得到了更大的改善.
- 没有整体TR恶化,但较短的领先-TV距离 (<24.5毫米) 与TR进展相关.
结论:
- LBBAP证明对RV功能有有益影响.
- 基底LBBAP定位可能与TR恶化的风险增加有关.
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