预测成功的因素在左捆分支区域节奏与 stylet 驱动的节奏线索:一个多中心调查
Ga-In Yu1, Tae-Hoon Kim2, Jung-Myung Lee3
1Division of Cardiology, Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Gyeongsang National University College of Medicine, Changwon, Republic of Korea.
Frontiers in cardiovascular medicine
|October 8, 2024
概括
较少的植入试图预测成功的左束枝区域节奏 (LBBAP) 和左束枝 (LBB) 捕获. 内心导电延迟和较大的右心房大小增加了LBBAP植入试图.
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:
- 左捆分支区域步调 (LBBAP) 是传导系统步调的一个不断发展的技术.
- 对于LBBAP的手术成功和可接受的植入试验数量的预测因素仍然不清楚.
研究的目的:
- 为了确定成功的LBBAP和左捆分支 (LBB) 捕获的预测因素.
- 确定影响LBBAP植入试图数量的因素.
主要方法:
- 一项追溯观察多中心研究,涉及119名接受LBBAP治疗的患者.
- 评估手术成功,LBB捕获率和电生理学/心声学参数.
- 多变量线性回归分析以确定影响因素.
主要成果:
- 急性LBBAP植入成功率为95.8%,LBB捕获在82.4%的患者中实现.
- 较少的植入试验与较高的LBBAP成功 (p=0.014) 和LBB捕获 (p=0.010) 相相关.
- 内腔导电延迟 (IVCD) 和较大的右心房 (RA) 大小与植入试图的增加有关 (p=0.02和p<0.001,分别).
结论:
- 增加的植入试图与LBBAP程序和LBB捕获失败有关.
- 电心图 (IVCD) 和回声心图 (RA大小) 参数可以预测程序的复杂性和LBBAP植入试图的数量.
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