左捆枝节奏结合心房节切除在心房动与严重的大动脉狭窄的心房动:一个病例报告
Shujie Zhang1, Lujing Nie1, Lifan Shao1
1Department of Cardiology, The First Affiliated Hospital of Shandong Second Medical University, Weifang, Shandong Province, China.
Medicine
|January 10, 2026
概括
在其他方法失败时,左束枝节奏结合心房结节切除 (AVNA) 为心房动 (AF) 和严重大动脉狭窄 (AS) 的老年患者提供了有效的治疗方法,改善了生活质量.
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:
- 与严重大动脉狭窄 (AS) 相关的心房动 (AF) 是一个复杂的管理挑战.
- 传统的节律控制方法可能会在这些患者中失败.
- 随着永久的起器植入,心房结节切除 (AVNA) 是一个可行的策略.
研究的目的:
- 评估左束枝节奏 (LBBP) 与AVNA结合的临床疗效.
- 评估这种结合方法在老年患有AF和严重AS的患者中.
- 在这个特定人群中证明耐火性AF的替代治疗方法.
主要方法:
- 一个88岁的女性患有持续性AF和严重AS的案例介绍.
- 以前的AF切除术已经失败了.
- 患者接受了LBBP,其次是AVNA.
主要成果:
- 在9个月的随访期内,心完全消失,心房律不整.
- 与AF相关的生活质量得分的显著改善.
- 6分钟步行测试的表现显著增加,表明功能增强.
结论:
- 与AVNA结合的LBBP在临床上有效,并且在老年AF和严重AS患者中技术可行.
- 这种方法在传统方法失败时提供症状缓解和功能改善.
- 它代表了一个有价值的治疗选择,对于一个具有挑战性的患者群体.
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