带有和没有腹腔隔膜缩的患者的左束支部区域节奏:系统性综述和元分析
Ke Zhang1, Ellen Aaronson2, Yong-Mei Cha1
1Department of Cardiovascular Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
概括
左捆支部区域节奏 (LBBAP) 在患有腹腔隔膜缩 (IVSH) 的患者中显示了相似的成功率. 然而,IVSH患者经历了更深的放置和更长的心室激活时间.
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:
- 导通性疾病在患有腹腔间隔膜缩症 (IVSH) 的患者中很普遍.
- 左捆分支区域节奏 (LBBAP) 提供生理节奏,保持心室间同步.
- 有限的数据存在于IVSH患者的LBBAP结果.
研究的目的:
- 系统地审查和综合关于LBBAP在IVSH患者与没有IVSH患者的可行性和结果的证据.
- 为了比较IVSH和非IVSH患者接受LBBAP的成功率,透深度,节奏QRS持续时间和左心室激活时间 (LVAT).
主要方法:
- 对观察性研究的文献数据库进行系统审查.
- 使用随机效应元分析进行定量合成.
- 包含了关于LBBAP成功率,透深度,节奏QRS持续时间和LVAT的数据的研究.
主要成果:
- 包括三项涉及49名IVSH和701名非IVSH患者的研究.
- 在IVSH和非IVSH组之间,LBBAP的比较成功率 (RR=0.92,P=0.20).
- 在IVSH患者中,穿透深度 (4.84毫米),QRS持续时间 (6.66毫秒) 和LVAT (6.37毫秒) 的节奏更大.
结论:
- 在IVSH患者和没有IVSH患者中,LBBAP的成功率相当.
- 接受LBBAP的IVSH患者需要更大的透深度.
- 在LBBAP后,IVSH与延长节奏QRS持续时间和LVAT有关.
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