在患有狭窄QRS复合体的患者中,与生理学His捆绑节奏的结果
Rehan Mahmud1, Jenna Lee2, Ayush Mohan2
1McLaren Bay Region Medical Center, Bay City, Michigan.
Heart rhythm
|June 22, 2024
概括
在狭窄QRS复合体患者中,他的捆绑节奏使节奏的QRS形态和心房 (AV) 延迟正常化. 这种方法与低死亡率和改善心脏功能有关,避免了与传统节奏相关的风险.
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:
- 在狭窄QRS复合体患者中,心室和双心室节奏会增加心脏风险.
- 室腔节奏规避算法无法减轻由于非生理性心房 (AV) 延迟而导致的这些风险.
研究的目的:
- 为了评估狭窄QRS复合体患者接受HIS捆绑节奏的结果.
- 评估维持正常节奏的QRS形态和生理AV延迟的影响.
主要方法:
- 196名患有狭窄QRS (92±10毫秒) 的患者接受了His捆绑节奏.
- 为生理学AV延迟和速率响应编程的起器,随访3年.
主要成果:
- 他的捆绑节奏保持了正常的QRS参数,并实现了92%的节奏负担.
- 显著改善左心室功能和减少扩张/心腔吐在减少喷射分数的患者.
- 正常的喷射分数患者保持了功能,没有新的膜问题.
结论:
- 他的捆绑节奏与正常的QRS形态和生理AV延迟在狭窄的QRS患者是安全的.
- 与较低的死亡率 (10%在3年) 和改善的心声学参数相关.
- 节奏QRS形态和AV延迟是未来传导系统节奏试验的关键因素.
相关概念视频
Disturbances in Heart Rhythm
933
Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
933
Electrophysiology of Normal Cardiac Rhythm
3.2K
The normal cardiac rhythm is a synchronized electrical activity that facilitates the regular and coordinated contraction of the heart muscle. This process is essential for efficient blood circulation throughout the body. The fundamental elements involved in establishing and maintaining this rhythm include the unique electrical properties of cardiac muscle cells, the sinoatrial (SA) node's pacemaker function, the specialized conducting system, and the ionic mechanisms underlying each phase...
3.2K
Conduction System of the Heart
5.7K
Autorhythmicity is a term that refers to the heart's inherent ability to generate electrical signals and instigate muscle contractions. This self-regulating conduction system within the heart consists of two key components: the pacemaker cells and specialized conducting cells.
The pacemaker cells are located in two primary nodes: the sinoatrial (SA) node and the atrioventricular (AV) node. The SA node pacemaker cells can autonomously depolarize, triggering an action potential that leads to the...
The pacemaker cells are located in two primary nodes: the sinoatrial (SA) node and the atrioventricular (AV) node. The SA node pacemaker cells can autonomously depolarize, triggering an action potential that leads to the...
5.7K
Antiarrhythmic Drugs: Class II Agents as β-Adrenergic Blockers
735
Adrenergic stimulation generally impacts cardiac rate and rhythm. Specifically, stimulation of the β-adrenoceptors triggers an increase in intracellular calcium ion influx and pacemaker currents, which may cause arrhythmias. Catecholamines like adrenaline also demonstrate β2-adrenoceptor-mediated hypokalemia, impacting cardiac action potential and disrupting the normal cardiac rhythm. Class II antiarrhythmic drugs are β-adrenoceptor antagonists or β-blockers, which...
735
ECG Interpretation of Arrhythmias I: Sinus Arrhythmias
209
Arrhythmias are disturbances in the heart's rhythm that lead to abnormal heartbeats. These irregularities can originate from different parts of the heart and are classified based on their origin and nature.
Types of Arrhythmias
Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism,...
Types of Arrhythmias
Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism,...
209
Decreased pulse rate
536
Bradycardia is a medical condition in which the heart rate is slower than normal. It occurs when the heart's natural pacemaker, the sinus node, generates slower electrical impulses than the standard rhythm. In adults, bradycardia is diagnosed when the pulse rate falls below 60 beats per minute, indicating a deviation from the normal heart rate range.
There are specific risk factors that can elevate the likelihood of developing bradycardia. Advanced age is a significant factor, with...
There are specific risk factors that can elevate the likelihood of developing bradycardia. Advanced age is a significant factor, with...
536


