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希氏束和希氏束旁起搏的研究进展 被引量：7

Advances in His bundle and parahisian pacing
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摘要 右心室心尖部起搏具有可操作性强、电极稳定不易脱落等优点，目前临床应用广泛。但许多研究表明右心室心尖部起搏并非理想的起搏位点，因为心尖部起搏时心室激动的顺序与生理性起搏相反，可致潜在的心功能恶化、瓣膜功能不良、心律失常，在特定人群中有较高的病死率。近年来开展较多的右心室流出道起搏，其获益仍有争议。运用减少心室起搏的算法能降低心室起搏比例，但对房室阻滞的患者，起搏不可避免。希氏束起搏理论上更接近生理性起搏，直接激动希氏束，使左右心室电和机械活动同步。近10余年来许多人探索了希氏束和希氏束旁起搏较其他起搏点在心功能、心脏再同步治疗（CRT）、心电图等方面的比较，本文就希氏束和希氏束旁起搏展开论述。
作者 白慧 任晓庆 王方正 张澍
机构地区 中国医学科学院北京协和医学院国家心血管病中心心血管疾病国家重点实验室阜外医院心律失常中心
出处 《中华心律失常学杂志》 2016年第2期172-174,共3页 Chinese Journal of Cardiac Arrhythmias
关键词 希氏束旁起搏 右心室心尖部起搏 心脏再同步治疗 右心室流出道起搏 生理性起搏 心室起搏 希氏束起搏 可操作性
分类号 R541.7 [医药卫生—心血管疾病]
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参考文献23

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二级参考文献15

  • 1Andersen HR, Nielsen JC,Thomsen PE, et al. Long-term follow-up of patients from a randomised trial of atrial versus ventricular pacing for sick-sinus syndrome. Lancet, 1997,350 : 1210-1216.
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  • 8Cantu F, de Filippo P, Cardano P, et al. Validation of criteria for selective his bundle and para-hisian permanent pacing. Pacing Clin Electrophysio1,2006,29 : 1326-1333.
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  • 10Zanon F, Baracca E, Aggio S, et al. A feasible approach for direct his-bundle pacing using a new steerable catheter to facilitate pre- cise lead placement. J Cardiovasc Electrophysiol, 2006, 17 : 29- 33.

共引文献26

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引证文献7

二级引证文献37

中华心律失常学杂志
2016年 第2期

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