生理性起搏研究进展

Recent Advances in Physiological Pacing

生理性起搏经历了房室顺序起搏、变时性起搏、心室再同步化治疗三个阶段.如何使起搏治疗更接近生理性从而最大限度满足患者生理需求是临床医师不懈的追求.随着对心脏功能的进一步了解以及起搏器制造工艺的进步,起搏功能必定越来越生理化.同时起搏器将具备更精密的程控功能和更高的自动化程度,模拟医师的思路随机应变,起搏参数可植入后自动优化,使起搏器运行在最有效最节能的状态,由心脏节律管理者上升为心脏疾病管理者,其独特的疗效将使生理性起搏功能日趋完美.本文分析了近年来在这一领域的研究进展,旨在为今后起搏器起搏模式、起搏部位、起搏间期的选择等提供依据.

Physiological pacing has undergone three stages： atrioventricular sequential pacing,chronotropic pacing and cardiac resynchronization therapy.How to make pacing therapy more physiological,so as to meet the physiological needs of patients,is the unremitting pursuit of clinicians.With further understanding of cardiac function and the development of pacemaker manufacturing technology,pacing function will become more and more physiological.At the same time,the newer generation of pacemakers will have more sophisticated program control function,higher automation,simulation of the doctor＆#39;s thinking,and the pacing parameters can be optimized automatically after implantation allowing pacemaker to operate in the most effective and energy-saving state.From cardiac rhythm managers to heart disease managers,their unique efficacy will make physiological pacing function perfect day by day.In this paper,the research progress in this field is analyzed,which aims to provide the basis for pacing mode,pacing site and pacing interval in the future.