房室结消融联合希氏束远端起搏治疗心房颤动介导的心肌病1例

One case report on the treatment of atrial fibrillation-mediated cardiomyopathy using the combination of atrioventricular nodal ablation and distal his bundle pacing

心房颤动介导的心肌病是近年来国际上提出的一种心力衰竭类型。目前发病机制尚不明确,对于该类患者的治疗亦缺乏经验。房室结消融可实现心房颤动合并心力衰竭患者的室率控制,希氏束(HBP)起搏是最具生理性的起搏方式,尤其HBP远端起搏能够获得更理想的起搏参数。本文就1例心房颤动介导的心肌病无法行导管消融的患者实施房室结消融联合HBP远端起搏的病例进行报道及文献分析,以期为临床诊断及治疗提供参考。

Atrial fibrillation-mediated cardiomyopathy is a type of heart failure revealed internationally only in recent years.At present,the pathogenesis still requires further exploration,and there is also a lack of experience in the treatment of these patients.Atrioventricular node ablation can be used to control the ventricular rate in patients with atrial fibrillation and heart failure,His bundle pacing(HBP)is recognized as a pacing mode bearing the strongest physiological characteristics,especially distal HBP can obtain more ideal pacing parameters.This paper reports and analyzes the literature on a case using the combination of atrioventricular node ablation and distal HBP in treating a patient with atrial fibrillation-mediated cardiomyopathy,who could not undergo catheter ablation,in order to provides some references for similar clinical diagnosis and treatment in the future.