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Şevket Ballı¹, Pınar Kanlıoğlu¹, Sultan Bent¹

¹Department of Pediatric Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training & Research Hospital, University of Health Sciences, İstanbul, Turkey.

Cardiology in the young

|March 13, 2025

概括

在患有完全心房静脉阻塞的儿童中,左束枝区域节奏是可行的和安全的,在术后显示出稳定的电参数和狭窄的QRS持续时间. 这种创新的节奏技术为儿科心脏护理提供了有希望的短期结果.

科学领域:

心脏病学心脏病学
儿科电子生理学儿科电子生理学
心脏节拍是因为心脏节拍.

背景情况:

左捆分支区域节奏 (LBBAP) 是一种新兴的技术,具有优越的电气性能和更广泛的准.
它在儿科患者群体中的可行性和有效性需要进一步研究.

研究的目的:

评估儿科患者LBBAP的可行性和短期结果.
评估接受LBBAP的儿童的节奏参数和临床结果.

主要方法:

一项对19名使用Select Secure带领进行LBBAP的儿童 (2021年12月至2024年4月) 的回顾性研究.
包括心声回声,节奏参数评估和随访.
患者有完整的心房静脉阻塞,有些人有来自右心室节奏的先前心室功能障碍.

主要成果:

平均年龄为7岁,10名男性,9名女性.
在18/19名患者中取得了成功的LBBAP,其中一名患者需要替代性隔膜节奏.
术后QRS持续时间的中位数为92毫秒,具有有利的节奏参数 (R波幅,值,阻抗).
光镜的中位数剂量为18.7mGy.

结论:

在儿科患者中,LBBAP是一种安全且可行的节奏策略.
它的结果是狭窄的QRS持续时间和稳定的节奏参数,为儿童复杂的节奏需求提供了可行的替代方案.

关键词:

左边的捆绑节奏节奏.心血管阻塞心血管阻塞导电系统的节奏节奏.

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