[1]陈天欢 李小明.心力衰竭患者心脏再同步化治疗最新进展[J].心血管病学进展,2020,(12):1290-1293.[doi:10.16806/j.cnki.issn.1004-3934.2020.12.016]
 CHEN Tianhuan,LI Xiaoming.Cardiac Resynchronization Therapy in Patients with Heart Failure[J].Advances in Cardiovascular Diseases,2020,(12):1290-1293.[doi:10.16806/j.cnki.issn.1004-3934.2020.12.016]
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心力衰竭患者心脏再同步化治疗最新进展()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2020年12期
页码:
1290-1293
栏目:
综述
出版日期:
2020-12-25

文章信息/Info

Title:
Cardiac Resynchronization Therapy in Patients with Heart Failure
作者:
陈天欢1 李小明2
(1.山西医科大学研究生院,山西 太原030000;2.山西省心血管病医院心血管内科,山西 太原030000)
Author(s):
CHEN Tianhuan1 LI Xiaoming2
(1.Shanxi Medical University Graduate School,Taiyuan 030000,Shanxi,China; 2.Department of Cardiology,Shanxi Cardiovascular Disease Hospital,Taiyuan 030000,Shanxi,China)
关键词:
心力衰竭心脏再同步化治疗心脏再同步化治疗除颤器
Keywords:
Heart failure Cardiac resynchronization therapy Cardiac resynchronization therapy-defibrillator
DOI:
10.16806/j.cnki.issn.1004-3934.2020.12.016
摘要:
心力衰竭指心脏结构或功能性原因导致心室充盈及/或射血功能受损而引起的一组综合征。心脏再同步化治疗(CRT)是心力衰竭中的一种器械治疗方式,旨在通过双心室起搏改善心室收缩的不同步,进而提高射血分数,改善心功能。自20世纪90年代开始CRT应用于临床,大量临床研究证实了其安全性及有效性,其适应证在不断扩大,但CRT与心脏再同步化治疗除颤器(CRT-D)的选择在临床上一直存在疑问,且近几年希氏束-浦肯野系统起搏开始应用于CRT中,使这一领域出现新的憧憬。本文就目前CRT的研究现状,其与CRT-D和希氏束-浦肯野系统起搏的抉择进行综述,给临床工作提出一定的指导意义。
Abstract:
Heart failure is a group of syndromes caused by structural or functional reasons of the heart that result in ventricular filling and/or impaired ejection function. Cardiac resynchronization therapy (CRT) is an instrumental therapy for heart failure designed to improve cardiac dyssynchrony through biventricular pacing,which in turn improves ejection fraction and cardiac function. Since the 1990s the CRT clinical applications,a large number of clinical studies confirmed the safety and efficacy and the indications were expanding. But the choice of the CRT and cardiac resynchronization therapy-defibrillator ( CRT-D) in clinic ha d been in doubt ,and in recent years His-Purkinje conduction system pacing (HPCSP) began to apply to cardiac resynchronization therapy ,which had brought a new prospect in this field . In this paper,the current research status of CRT and its choice of pacing with CRT-D and HPCSP are reviewed to provide some guidance for clinical work.

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备注/Memo

备注/Memo:

通信作者: 李小明,Email: zya1965@163.com
收稿日期:2020-06-08

更新日期/Last Update: 2021-02-22