输出依赖的QRS过渡和左捆分支捕获在左捆分支区域步调中的持久性
Kenji Shimeno1, Naoki Matsumoto1, Shota Tamura2
1Department of Cardiology, Osaka City General Hospital, Osaka, Japan.
Heart rhythm
|August 24, 2024
概括
输出依赖的QRS过渡,是左捆分支区域节奏 (LBBAP) 的关键指标,长期仍然持久. 在手术后的第一年内,大多数患者的左束枝节奏值稳定.
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:
- 输出依赖的QRS转换证实了在LBB节奏 (LBBAP) 过程中捕获左捆分支 (LBB).
- 这一指标的长期持久性尚未得到充分证实.
研究的目的:
- 评估输出依赖QRS转换的持续性.
- 评估LBB和左心室隔膜捕获值,直到LBBAP后的一年.
主要方法:
- 有129名LBBAP成功的患者接受了一年的随访.
- 捕获值是在术后的0,3,180,360天进行测量.
主要成果:
- 88%的患者在一年后保持了输出依赖的QRS过渡.
- 低电压值显示非显著的增长,93%的电压保持在2.5V.
- 在整个随访期间,左心室隔膜值保持稳定.
结论:
- 在LBBAP植入后,输出依赖的QRS转换是高度可重现的.
- 在手术后的第一年,LBB值通常是稳定的,以确保一致的捕获.
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