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系统性审查和元分析对最小化右心室节奏的设备算法对结果的影响

Davide Antonio Mei^1,2, Jacopo Francesco Imberti^1,2, Marco Vitolo^1,2

¹Cardiology Division, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Policlinico di Modena, Via del Pozzo 71, Modena 41121, Italy.

Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology

|August 9, 2024

概括

最小化右心室节奏 (RVPm) 算法可降低需要抗心治疗的患者心房动和心血管住院的风险. 这种策略在不增加不良症状的情况下是有效的,即使在高心阻塞人群中也是如此.

科学领域:

心脏病学心脏病学
电力生理学电力生理学
医疗器械技术医疗器械技术

背景情况:

右心室节奏 (RVP) 可以导致不良结果.
尽量减少RVP (RVPm) 旨在改善患者的福祉.
双室节奏 (DDD) 是一种标准的治疗方法.

研究的目的:

系统地审查和元分析RVPm算法与DDD步调的临床结果.
评估RVPm在减少不良事件中的有效性.
为了探索高心房阻塞 (AVB) 患者的效果.

主要方法:

在PubMed数据库进行系统搜索.
包括8项研究,涉及7229名患者.
结果的元分析:持久/永久性心房动 (PerAF),心血管 (CV) 住院治疗,全因死亡和不良症状.

主要成果:

与DDD节奏相比,RVPm算法显著降低了PerAF (OR 0.74) 和CV住院 (OR 0.77) 的风险.
在全因死亡或不良症状方面没有发现显著差异.
聚合的RVP百分比与RVPm (7.96%) 与DDD节奏 (45.11%) 相比显着较低.

结论:

RVPm算法在降低PerAF和CV住院率方面是有效的.
在所有研究中,RVPm的好处是一致的,包括那些有高AVB患者百分比的研究.
在不增加不良症状的情况下,RVPm为标准节奏提供了一个可能更安全的替代方案.

关键词:

算法算法是一种算法.心房动是一种心房动.在心房房阻塞.心脏衰竭是因为心脏衰竭.进行元分析分析.起器是一种心脏起器.阴道节的功能障碍

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