他的捆绑步调的中期表现以及备份线索的有用性
Julia Herbert1, Arianne Kovacsovics1, Rita Brito1
1Cardiac Pacing Unit, Department of Cardiology, University Hospital of Geneva, Rue Gabrielle-Perret-Gentil 4, CH-1211 Geneva, Switzerland.
概括
添加心室备用线索到His bundle pacing (HBP) 可能会减少线索修订和不良事件. 这项研究表明,备份线索对精选的HBP患者有益.
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:
- 他的捆绑节奏 (HBP) 是一种替代的节奏策略.
- 在HBP中,心室备用导线的实用性尚未得到充分证实.
研究的目的:
- 为了评估心室备用线索在接受His捆节奏的患者中的有效性.
- 为了确定备份线索是否减少了线索修订率和不良事件.
主要方法:
- 对184名患者进行了回顾性研究,他们接受了His捆绑节奏.
- 对带有或没有备用线索的患者的线索修订率和不良事件的分析.
主要成果:
- 147名 (79.9%) 患者在随访时保持了他的捆绑捕获.
- 13.9%的没有备份线索的患者发生了线索修订,而有备份线索的患者为2.0% (P = 0.008).
- 一名没有备用线索的患者因心房过度传感而经历了昏迷.
结论:
- 腹腔备用导线的植入可能对选定的HIS捆绑节奏患者有益.
- 备份线索可能会减少对线索修订的需求,并防止不良事件.
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