在左捆枝节奏后延迟部分突起的:编程的重要性-一个案例报告
Catalin Pestrea1, Ecaterina Cicala1, Florin Ortan1
1Department of Interventional Cardiology, Brasov County Clinical Emergency Hospital, Brasov, Romania.
Pacing and clinical electrophysiology : PACE
|February 25, 2026
概括
在左捆分支区域节奏 (LBBAP) 后,左心室 (LV) 延迟穿孔是罕见但严重的. 一名患者在单极节奏失败时自诊断了这种并发症,尽管双极节奏显示了足够的捕获.
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:
- 左捆分支区域节奏 (LBBAP) 是一个先进的His-捆节奏技术.
- 脱落和穿孔是已知的心脏节奏的并发症.
- 延迟穿孔到左心室 (LV) 腔的情况比急性穿孔更为罕见.
研究的目的:
- 报告一个延迟LBBAP突出进入LV腔的病例.
- 突出患者独特的自我诊断方法.
- 强调严重不良事件与延迟导致并发症的可能性.
主要方法:
- 一个年轻患者的病例报告,患有二度心房静脉阻塞.
- 使用了LBBAP,随后在放电后进行监测.
- 在单极和双极环境中分析了节奏参数.
主要成果:
- 患者在出院后,LBBAP线部分突出进入LV腔.
- 双极节奏证明了充足的导电系统捕获.
- 单极节奏调节编程显示,捕获完全丢失,表明位移.
结论:
- 延迟的LBBAP可能会导致LV腔的穿孔,并且可能呈现微妙.
- 患者的意识和特定的节奏模式测试 (单极和双极) 可以帮助早期诊断.
- 这种并发症需要对LBBAP患者保持警和仔细跟踪.
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