电气参数与心脏同步之间的关系在接受左束支部区域节奏的患者中
Manxin Lin1, Shufen Huang1, Xinyi Huang2
1Division of Cardiology, Xiamen Cardiovascular Hospital, Xiamen University, Xiamen, Fujian, China.
Pacing and clinical electrophysiology : PACE
|October 22, 2024
概括
左捆分支区域节奏 (LBBAP) 可以实现最佳的心脏同步,而不需要特定的电参数,如LBB电位或正常的QRS轴. 建议对左心室激活时间 (Stim-LVAT) 进行75毫秒以下的刺激,以获得理想的结果.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 心脏节拍是因为心脏节拍.
背景情况:
- 左捆分支区域步调 (LBBAP) 是一种替代步调策略.
- 评估心脏同步对于优化节奏结果至关重要.
- 了解LBBAP中电气和机械同步之间的关系很重要.
研究的目的:
- 在接受LBBAP的患者中评估心脏同步.
- 为了确定电气参数和机械同步之间的相关性.
- 确定成功的LBBAP和同步的最佳电气标准.
主要方法:
- 分析了82名成功使用LBBAP的患者.
- 用节奏QRS持续时间 (pQRSD) 和Stim-LVAT测量电同步.
- 机械同步被评估使用标准偏差的时间到峰值收缩速度 (Tsd-12-LV).
- 根据LVAT,LBB潜力,QRS轴和PVI分组患者.
主要成果:
- 根据Stim-LVAT,LBB潜力,PVI或QRS轴的子组之间没有发现电气或机械同步的显著差异.
- pQRSD和Tsd-12-LV在定义的子组中没有显著的变化.
结论:
- 特定的电气参数 (LBB潜力,PVI,正常的QRS轴) 不是有效的LBBAP和最佳心脏同步的必要条件.
- 在LBBAP过程中,Stim-LVAT<75毫秒可能是实现理想电气和机械同步的实际值.
相关概念视频
Electrophysiology of Normal Cardiac Rhythm
2.2K
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...
2.2K
Conduction System of the Heart
4.6K
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...
4.6K
Mechanism of Cardiac Arrhythmias
892
Arrhythmias are irregular heart rhythms occurring when the heart's electrical impulses become abnormal. These disturbances can lead to various symptoms, depending on their severity and the underlying cause. Some common factors contributing to arrhythmias include hypoxia, ischemia, electrolyte imbalances, excessive catecholamine exposure, drug toxicity, and muscle overstretching. Arrhythmias can be classified into two main types based on the rate and site of origin of abnormal heart rhythms.
892
Dysrhythmias IV: Characteristics of Bradyarrhythmias
3
Bradyarrhythmias are cardiac rhythm disorders characterized by a slower-than-normal heart rate, typically defined as fewer than 60 beats per minute. Some of which are discussed here:Sinus BradycardiaSinus bradycardia presents a heart rate lower than 60 beats per minute, with a regular rhythm originating from the SA node. The ECG typically shows normal P waves preceding each QRS complex, a normal PR interval (0.12 to 0.20 seconds), and a normal QRS duration (0.06 to 0.10 seconds).First-Degree AV...
3
Correlation between ECG and Cardiac Cycle
3.5K
The electrical signals recorded on an electrocardiogram (ECG) occur before the mechanical processes of contraction and relaxation during the cardiac cycle.
A cardiac action potential originates in the SA node and spreads throughout the atria and the AV node in approximately 0.03 seconds. This results in the P wave in an ECG and triggers atrial contraction. The action potential is then briefly slowed at the AV node, allowing the atria to contract and fill the ventricles with blood before...
A cardiac action potential originates in the SA node and spreads throughout the atria and the AV node in approximately 0.03 seconds. This results in the P wave in an ECG and triggers atrial contraction. The action potential is then briefly slowed at the AV node, allowing the atria to contract and fill the ventricles with blood before...
3.5K
Dysrhythmias III: Characteristics of Dysrhythmias
3
Dysrhythmias, also known as arrhythmias, are irregular heart rhythms that result from abnormal electrical activity in the heart, affecting its ability to circulate blood efficiently. Tachyarrhythmias, a subset of dysrhythmias, are characterized by abnormally fast heart rates exceeding 100 beats per minute. Here are some types of tachyarrhythmias with their distinct ECG features:Sinus Tachycardia:Sinus tachycardia presents a regular heart rhythm with an increased rate of 101-180 beats per...
3


