[1]苗旺 张楠 王睿.希浦系统起搏在心脏再同步化治疗中的应用[J].心血管病学进展,2021,(8):707-710.[doi:10.16806/j.cnki.issn.1004-3934.2021.08.009]
 MIAO Wang ZHANG Nan WANG Rui.Application of His-Purkinje System Pacing in Cardiac Resynchronization Therapy[J].Advances in Cardiovascular Diseases,2021,(8):707-710.[doi:10.16806/j.cnki.issn.1004-3934.2021.08.009]
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希浦系统起搏在心脏再同步化治疗中的应用()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2021年8期
页码:
707-710
栏目:
综述
出版日期:
2021-08-25

文章信息/Info

Title:
Application of His-Purkinje System Pacing in Cardiac Resynchronization Therapy
作者:
苗旺1 张楠 2 王睿 2
(1.山西医科大学,山西 太原 0300012.山西医科大学第一医院心血管内科,山西 太原 030001)
Author(s):
MIAO Wang1 ZHANG Nan2 WANG Rui2
(1.Shanxi Medical University,Taiyuan 030001,Shanxi,China2.Department of Cardiology,The First Hospital of Shanxi Medical University,Taiyuan 030001,Shanxi,China)
关键词:
希氏-浦肯野系统心脏再同步化治疗希氏束起搏左束支起搏
Keywords:
His-purkinje systemCadiac resyn-chronizationHis bundle pacing Left bundle branch pacing
DOI:
10.16806/j.cnki.issn.1004-3934.2021.08.009
摘要:
心脏再同步化治疗(CRT)是难治性心力衰竭的有效治疗手段,传统的双心室起搏植入过程复杂,受解剖影响较大,且约30%的患者植入后无反应。希氏束起搏刺激信号沿生理途径传导,有利于恢复心脏电-机械同步性,逆转心室重塑,多项研究肯定了其在CRT中的价值。左束支起搏是近年来兴起的新方法,通过激动左束支区域改善心脏泵血功能,在临床实践获益显著,起搏参数表现稳定,是目前研究的热点。现以希浦系统起搏为核心,系统介绍希浦系统解剖、希浦系统起搏在CRT的应用及存在的问题,并对未来进行展望。
Abstract:
Cardiac resynchronization therapy is an effective treatment for refractory heart failure. The traditional implantation of biventricular pacing is complicated and greatly affected by anatomy,and about 30% of patients have no response after implantation. His bundle pacing stimulus signal conduction along the physiological pathway,to restore the heart electrical and mechanical synchronicity,reversing ventricular remodeling,several studies have confirmed that its value in cardiac resynchronization therapy,left bundle branch pacing is the rise of the new method in recent years,through the stimulus left bundle branch area improves heart pump function,benefit in clinical practice,pacemaker parameters stable performance,is a hotspot of current research.

参考文献/References:

[1].Cleland JG,Daubert JC,Erdmann E,et al. The effect of cardiac resynchronization on morbidity and mortality in heart failure[J]. N Engl J Med,352(15):1539-1549.
[2].Curtis AB,Worley SJ,Adamson PB,et al. Biventricular versus right ventricular pacing in heart failure patients with atrioventricular block (BLOCK HF) trial investigators. Biventricular pacing for atrioventricular block and systolic dysfunction[J]. N Engl J Med,2013,368(17):1585-1593.
[3].王华,梁延春.中国心力衰竭诊断和治疗指南2018[J].中华心血管病杂志,2018,46(10):760-789.
[4].Gras D,B?cker D,Lunati M,et al. Implantation of cardiac resynchronization therapy systems in the CARE-HF trial:procedural success rate and safety[J]. Europace,2007,9(7):516-522.
[5].Holzmeister J,Gorcsan J 3rd,Ruschitzka F. Cardiac-resynchronization therapy in heart failure with a narrow QRS complex[J]. N Engl J Med,2014,370(6):580-581.
[6].Atwater BD,Emerek K,S?rensen PL,et al. PR Prolongation predicts inadequate resynchronization with biventricular pacing in left bundle branch block[J]. Pacing Clin Electrophysiol,2019,42(11):1477-1485.
[7].Deshmukh P,Casavant DA,Romanyshyn M,et al. D irect His-bundle pacing: a novel approach to cardiac pacing in patients with normal His-Purkinje activation[J]. Circulation,2000,101(8):869-877.
[8].Kawashima T,Sasaki H. A macroscopic anatomical investigation of atrioventricular bundle locational variation relative to the membranous part of the ventricular septum in elderly human hearts[J]. Surg Radiol Anat,2005,27(3):206-213.
[9].Nagarajan VD,Ho SY,Ernst S. Anatomical considerations for His bundle pacing[J]. Circ Arrhythm Electrophysiol,2019,12(7):e006897.
[10].James TN,Sherf L,Urthaler F. Fine structure of the bundle-branches[J]. Br Heart J,1974,36(1):1-18.
[11].谢小霜,范洁. 左束支解剖结构对左束支区域起搏的临床指导意义[J]. 心血管病学进展,2020,41(11):1196-1198+1208.
[12].Mori?a-Vázquez P,Barba-Pichardo R,Venegas-Gamero J,et al. Cardiac resynchronization through selective His bundle pacing in a patient with the so-called InfraHis atrioventricular block[J]. Pacing Clin Electrophysiol,2005,28(7):726-729.
[13].Ajijola OA,Upadhyay GA,Macias C,et al. Permanent His-bundle pacing for cardiac resynchronization therapy:initial feasibility study in lieu of left ventricular lead[J]. Heart Rhythm,2017,14(9):1353-1361.
[14].Lustgarten DL,Crespo EM,Arkhipova-Jenkins I,et al. His-bundle pacing versus biventricular pacing in cardiac resynchronization therapy patients:a crossover design comparison[J]. Heart Rhythm,2015,12(7):1548-1557.
[15].Sharma PS,Dandamudi G,Herweg B,et al. Permanent His-bundle pacing as an alternative to biventricular pacing for cardiac resynchronization therapy: a multicenter experience[J]. Heart Rhythm,2018,15(3):413-420.
[16].Arnold AD,Shun-Shin MJ,Keene D,et al. His resynchronization versus biventricular pacing in patients?with?heart failure and left?bundle branch block[J]. J Am CollCardiol,2018,72(24):3112-3122.
[17].Zareba W,Klein H,Cygankiewicz I,et al. Effectiveness of Cardiac Resynchronization Therapy by QRS Morphology in the Multicenter Automatic Defibrillator Implantation Trial-Cardiac Resynchronization Therapy (MADIT-CRT)[J]. Circulation,2011,123(10):1061-1072.
[18].Sharma PS,Naperkowski A,Bauch TD,et al. Permanent His bundle pacing for cardiac resynchronization therapy in patients with heart failure and right bundle branch block[J]. Circ Arrhythm Electrophysiol,2018,11(9):e006613.
[19].Healey JS,Hohnloser SH,Exner DV,et al. Cardiac resynchronization therapy in patients with permanent atrial fibrillation:results from the Resynchronization for Ambulatory Heart Failure Trial (RAFT)[J]. Circ Heart Fail,2012,5(5):566-570.
[20].Boczar K,S?awuta A,Z?bek A,et al. Cardiac resynchronization therapy with His bundle pacing[J]. Pacing Clin Electrophysiol,2019,42(3):374-380.
[21].Bhatt AG,Musat DL,Milstein N,et al. The efficacy of His bundle pacing:lessons?learned from implementation for the first time at an experienced electrophysiology center[J]. JACC Clin Electrophysiol,2018,4(11):1397-1406.
[22].Barba-Pichardo R,Manovel Sánchez A,Fernández-Gómez JM,et al. Ventricular resynchronization therapy by direct His-bundle pacing using an internal cardioverter defibrillator[J]. Europace,2013,15(1):83-88.
[23].Upadhyay GA,Cherian T,Shatz DY,et al. Intracardiac Delineation of septal conduction in left bundle-branch block patterns[J]. Circulation,2019,139(16):1876-1888.
[24].Huang W,Chen X,Su L,et al. A beginners guide to permanent left bundle branch pacing[J]. Heart Rhythm,2019,16(12):1791-1796.
[25].Huang W,Su L,Wu S,et al. A novel pacing strategy with low and stable output: pacing the left bundle branch immediately beyond the conduction block[J]. Can J Cardiol,2017,33(12):1736.e1-1736.e3.
[26].Lin J,Dai Y,Wang H,et al. A comparison of left bundle branch pacing with His bundle pacing in a patient with heart failure and left bundle branch block[J]. HeartRhythm Case Rep,2019,6(6):293-296.
[27].Li X,Qiu C,Xie R,et al. Left bundle branch area pacing delivery of cardiac resynchronization therapy and comparison with biventricular pacing[J]. ESC Heart Fail,2020,7(4):1711-1722.
[28].Wang Y,Gu K,Qian Z,et al. The efficacy of left bundle branch area pacing compared with biventricular pacing in patients with heart failure:a matched case-control study[J]. J Cardiovasc Electrophysiol,2020,31(8):2068-2077.
[29].Wu S,Su L,Vijayaraman P,et al. Left bundle branch pacing for cardiac resynchronization therapy:nonrandomized on-treatment comparison with His bundle pacing and biventricular pacing[J]. Can J Cardiol,2021,37(2):319-328.
[30].Huang W,Wu S,Vijayaraman P,et al. Cardiac resynchronization therapy in patients with nonischemic cardiomyopathy using left?bundle?branch pacing[J]. JACC Clin Electrophysiol,2020,6(7):849-858.
[31].Hadjis A,AlTurki A,Proietti R,et al. Predicting response to cardiac resynchronization therapy:use of strict left bundle branch block criteria[J]. Pacing Clin Electrophysiol,2019,42(4):431-438.
[32].Guo J,Li L,Xiao G,et al. Remarkable response to cardiac resynchronization therapy via left bundle branch pacing in patients with true left bundle branch block[J]. Clin Cardiol,2020,43(12):1460-1468.
[33].林杰,李海瑞,李海鹰. 左束支区域起搏的现状和展望[J]. 心血管病学进展,2020,41(5):462-467.
[34].Chen K,Li Y. How to implant left bundle branch pacing lead in routine clinical practice[J]. J Cardiovasc Electrophysiol,2019,30(11):2569-2577.

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备注/Memo

备注/Memo:
通信作者:王睿,E-mail:doctorxnk@163.com 收稿日期:2021-01-05
更新日期/Last Update: 2021-09-26