儿童的左捆分支区域步调:病例系列
Ewa Jędrzejczyk-Patej1, Michał Mazurek1, Oskar Kowalski2,3
1Department of Cardiology, Congenital Heart Diseases and Electrotherapy, Silesian Center for Heart Diseases, Skłodowskiej-Curie 9, 41-800 Zabrze, Poland.
European heart journal. Case reports
|February 12, 2025
概括
左捆支部区域节奏 (LBBAP) 在心脏阻塞儿童中提供生理节奏. 这种新的技术是可行的,并且显示出稳定的电力参数,有可能预防儿科患者的心脏起器诱导的心肌病.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 电力生理学 电力生理学
- 心血管器械 心血管器械
背景情况:
- 左捆支部区域节奏 (LBBAP) 是一种新兴的生理心脏节奏技术.
- 它提供了狭窄的QRS持续时间,并可以预防右心室节奏诱导的心肌病,特别适用于需要高节奏的儿童.
研究的目的:
- 评估LBBAP在儿科患者中的可行性和安全性.
- 评估在需要起器的儿童中LBBAP植入的短期结果.
主要方法:
- 在三名儿科患者 (8岁和16岁) 的左束支部区域成功植入Medtronic SelectSecure电极.
- 指示包括三度心房静脉阻塞.
- 手术是在全身麻醉下进行的,没有急性并发症.
主要成果:
- 随访6个月的中位数没有显示任何不良事件.
- 在整个随访期间,设备的电气参数保持稳定.
- 在儿科患者中证明了LBBAP的可行性.
结论:
- 在儿童中,LBBAP植入是可行的,即使身体尺寸较小和生长考虑.
- 这种节奏策略可能对患有高心室节奏负担的儿科患者有益.
- 需要进一步的长期研究来证实LBBAP在儿童中的有效性和安全性.
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