[1]赵亚楠,樊晓寒.闭环刺激起搏在血管迷走性晕厥治疗中的应用现状分析[J].心血管病学进展,2019,(6):853-856.[doi:10.16806/j.cnki.issn.1004-3934.2019.06.004]
 ZHAO Yanan,FAN Xiaohan.Analysis Application of Closed-loop Stimulated Pacing in Treatment of Vasovagal Syncope[J].Advances in Cardiovascular Diseases,2019,(6):853-856.[doi:10.16806/j.cnki.issn.1004-3934.2019.06.004]
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闭环刺激起搏在血管迷走性晕厥治疗中的应用现状分析()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2019年6期
页码:
853-856
栏目:
综述
出版日期:
2019-09-25

文章信息/Info

Title:
Analysis Application of Closed-loop Stimulated Pacing in Treatment of Vasovagal Syncope
作者:
赵亚楠 樊晓寒
(北京协和医学院 中国医学科学院 国家心血管病中心 阜外医院心血管内科,北京 100037)
Author(s):
ZHAO YananFAN Xiaohan
(Department of Cardiovascular InstituteFuwai Hospital,Chinese Academy of Medical SciencePeking Union Medical College,Beijing 100037,China)
关键词:
管迷走性晕厥心脏抑制型闭环刺激起搏器
Keywords:
Vasovagal syncopeCardioinhibitoryClosed-loop stimulationPacemaker
DOI:
10.16806/j.cnki.issn.1004-3934.2019.06.004
摘要:
起搏器治疗血管迷走性晕厥的获益目前仍存在争议,通常建议用于难治性迷走性晕厥伴发心脏停搏的患者。起搏通过感知程控发现从而目前多项随机观察研究结果闭环刺激起搏型作治疗,少数研究结果表明闭环刺激起搏对于减少血管抑制型和混合型迷走性晕厥患者的晕厥发作治疗有限
Abstract:
The benefit of pacemaker in treatment of vasovagal syncope remains controversial and is currently recommended for patients with recurrent syncope and asystole. Closed-loop stimulation uses a sensing algorithm that can detect the variation in cardiac contractility and respond to drop in blood pressure by increasing the heart rate. Recently,multiple observational and randomized studies showed its superiority to conventional pacing in reducing the burden of syncopal attacks in patients with cardioinhibitory vasovagal syncope. A few studies suggested that closed-loop stimulation pacing is limited in patients with vasodepressor or mixed vasovagal syncope.

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备注/Memo

备注/Memo:
通讯作者:樊晓寒,E-mail:fanxiaohan@fuwaihospital.org 收稿日期:2019-02-27
更新日期/Last Update: 2019-12-10