[1]杜淦 曹钰尉 唐炯 胥雪莲.左束支起搏研究进展[J].心血管病学进展,2022,(8):687-690.[doi:10.16806/j.cnki.issn.1004-3934.2022.08.005]
 DU Gan CAO Yuwei TANG Jiong XU Xuelian.Left Bundle Branch Pacing[J].Advances in Cardiovascular Diseases,2022,(8):687-690.[doi:10.16806/j.cnki.issn.1004-3934.2022.08.005]
点击复制

左束支起搏研究进展(/HTML)
分享到:

《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2022年8期
页码:
687-690
栏目:
综述
出版日期:
2022-08-25

文章信息/Info

Title:
Left Bundle Branch Pacing
作者:
杜淦1 曹钰尉1 唐炯2 胥雪莲3
(1.重庆医科大学第一临床学院,重庆 400000 ;2.云南省阜外心血管病医院心血管内科,云南 昆明 650000;3.重庆医科大学附属大学城医院心血管内科,重庆 400000)
Author(s):
DU Gan1 CAO Yuwei1 TANG Jiong2 XU Xuelian3
(1.The First Clinical College of Chongqing Medical University,Chongqing 400000China2.Department of CardiologyFuwai Yunnan Cardiovascular Hospital,Kunming 650000,YunnanChina3.Department of CardiologyUniversity-Town Hospital of Chongqing Medical UniversityChongqing 400000China)
关键词:
左束支起搏生理性起搏非同步化并发症临床疗效
Keywords:
Left bundle branch pacingPhysiological pacingDyssynchronyComplicationClinical outcomes
DOI:
10.16806/j.cnki.issn.1004-3934.2022.08.005
摘要:
心脏起搏是针对心脏传导系统疾病的有效治疗方式。传统的心脏起搏方式为右心室起搏,而生理性的起搏方式为双心室起搏、心脏再同步化治疗、希氏束起搏及希氏束旁起搏。传统的心脏起搏可引起心脏电活动以及机械活动不同步,增加患者房性心律失常、左心室功能异常以及心力衰竭的风险。近期,左束支起搏(LBBP)因其起搏阈值低而稳定,安置时间较短,能有效纠正左束支传导阻滞等优点,成为克服上述局限性的一种替代方法。在本综述中将讨论现有对LBBP的认识。
Abstract:
Cardiac pacing is an effective therapy for patients with cardiac conduction disease. Traditional pacing therapy is right ventricular pacing (RVP),while physiological pacing therapies are biventricular pacing (BVP),cardiac resynchronization therapy (CRT),His bundle pacing (HBP) and para-Hisian pacing (PHP) . These therapies may cause electrical and mechanical dyssynchrony,which attributes to increased risk for atrial arrhythmias,left ventricular dysfunction and heart failure (HF). Recently,left bundle branch pacing (LBBP) emerges as an alternative approach to overcome these limitations,for its low and stable pacing threshold,short implantation time and correction of left bundle branch block (LBBB). In this review,we discuss the current knowledge of LBBP.

参考文献/References:

[1] Ng AC,Allman C,Vidaic J,et al. Long-term impact of right ventricular septal versus apical pacing on left ventricular synchrony and function in patients with second- or third-degree heart block[J]. Am J Cardiol,2009,103(8):1096-1101.
[2] Zhong C ,Xu W,Shi S,et al. Left bundle branch pacing for cardiac resynchronization therapy:a systematic literature review and meta-analysis[J]. Pacing Clin Electrophysiol,2021,44(3):497-505.
[3] Upadhyay GA ,Vijayaraman P,Nayak HM,et al. On-treatment comparison between corrective His bundle pacing and biventricular pacing for cardiac resynchronization:a secondary analysis of the His-SYNC Pilot Trial[J]. Heart Rhythm,2019,16(12):1797-1807.
[4] Arnold AD ,Whinnett ZI,Vijayaraman P. His-purkinje conduction system pacing:state of the art in 2020[J]. Arrhythm Electrophysiol Rev,2020,9(3):136-145.
[5] 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):1731-1736.
[6] Huang W ,Chen X,Su L,et al. A beginner’s guide to permanent left bundle branch pacing[J]. Heart Rhythm,2019,16(12):1791-1796.
[7] Qian Z ,Hou X,Wang Y,et al. Physiological left bundle branch pacing validated by ultra-high density ventricular mapping in a swine model[J]. Circ Arrhythm Electrophysiol,2020,13(1):e7898.
[8] Sundaram S ,Vijayaraman P. Left bundle branch pacing[J]. Herzschrittmacherther Elektrophysiol,2020,31(2):124-134.
[9] Hou X ,Qian Z,Wang Y,et al. Feasibility and cardiac synchrony of permanent left bundle branch pacing through the interventricular septum[J]. Europace,2019,21(11):1694-1702.
[10] Cai B,Huang X,Li L,et al. Evaluation of cardiac synchrony in left bundle branch pacing:insights from echocardiographic research[J]. J Cardiovasc Electrophysiol,2020,31(2):560-569.
[11] Jiang H,Hou X,Qian Z,et al. A novel 9-partition method using fluoroscopic images for guiding left bundle branch pacing[J]. Heart Rhythm,2020,17(10):1759-1767.
[12] Ponnusamy SS,Arora V,Namboodiri N,et al. Left bundle branch pacing:a comprehensive review[J]. J Cardiovasc Electrophysiol,2020,31(9):2462-2473.
[13] Wu S,Chen X,Wang S,et al. Evaluation of the criteria to distinguish left bundle branch pacing from left ventricular septal pacing[J]. JACC Clin Electrophysiol,2021,7(9):1166-1177.
[14] Zhang J,Sheng X,Pan Y,et al. Electrophysiological insights into three modalities of left bundle branch area pacing in patients indicated for pacing therapy[J]. Int Heart J,2021,62(1):78-86.
[15] Chen X,Wu S,Su L,et al. The characteristics of the electrocardiogram and the intracardiac electrogram in left bundle branch pacing[J]. J Cardiovasc Electrophysiol,2019,30(7):1096-1101.
[16] Zhang S,Guo J,Tao A,et al. Clinical outcomes of left bundle branch pacing compared to right ventricular apical pacing in patients with atrioventricular block[J]. Clin Cardiol,2021,44(4):481-487.
[17] Chen X,Jin Q,Bai J,et al. The feasibility and safety of left bundle branch pacing vs. right ventricular pacing after mid-long-term follow-up:a single-centre experience[J]. Europace,2020,22(suppl 2):ii36-ii44.
[18] Ponnusamy SS,Muthu G,Kumar M,et al. Mid-term feasibility,safety and outcomes of left bundle branch pacing-single center experience[J]. J Interv Card Electrophysiol,2021,60(2):337-346.
[19] Su L,Wang S,Wu S,et al. Long-term safety and feasibility of left bundle branch pacing in a large single-center study[J]. Circ Arrhythm Electrophysiol,2021,14(2):e9261.
[20] Chan J,Huang WJ,Yan B. Non-invasive electrocardiographic imaging of His-bundle and peri-left bundle pacing in left bundle branch block[J]. Europace,2019,21(6):837.
[21] 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.
[22] Lin J,Chen K,Dai Y,et al. Bilateral bundle branch area pacing to achieve physiological conduction system activation[J]. Circ Arrhythm Electrophysiol,2020,13(8):e008267.
[23] Kim SH,Oh YS,Nam GB,et al. Paced QRS axis as a predictor of pacing-induced left ventricular dysfunction[J]. J Interv Card Electrophysiol,2014,41(3):223-229.
[24] Hasumi E,Fujiu K,Nakanishi K,et al. Impacts of left bundle/peri-left bundle pacing on left ventricular contraction[J]. Circ J,2019,83(9):1965-1967.
[25] 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.
[26] Wang S,Wu S,Xu L,et al. Feasibility and efficacy of His bundle pacing or left bundle pacing combined with atrioventricular node ablation in patients with persistent atrial fibrillation and implantable cardioverter-defibrillator therapy[J]. J Am Heart Assoc,2019,8(24):e014253.
[27] Chu SY,Sheng QH,Chen ED,et al. Is the left bundle branch pacing a choice to conquer the right bundle branch block?—A case report[J]. Ann Noninvasive Electrocardiol,2021,26(2):e12797.
[28] Hoeland K,Kloppe A,Hexamer M,et al. New sensor based on fibre optics for measurement of heart movement[J]. Med Biol Eng Comput,2002,40(5):571-575.
[29] Jastrz?bski M,Moskal P,Bednarek A,et al. Programmed deep septal stimulation:a novel maneuver for the diagnosis of left bundle branch capture during permanent pacing[J]. J Cardiovasc Electrophysiol,2020,31(2):485-493.

相似文献/References:

[1]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,(5):462.[doi:10.16806/j.cnki.issn.1004-3934.2020.05.006]
 LIN Jie,LI Hairui,LI Haiying.Present and Future of Left Bundle Branch Area Pacing[J].Advances in Cardiovascular Diseases,2020,(8):462.[doi:10.16806/j.cnki.issn.1004-3934.2020.05.006]
[2]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,(11):1196.[doi:10.16806/j.cnki.issn.1004-3934.2019.11.000]
[3]陈益帆 周秀娟.希氏束起搏在心力衰竭患者中的临床应用进展[J].心血管病学进展,2021,(1):64.[doi:10.16806/j.cnki.issn.1004-3934.2021.01.000]
 CHEN Yifan,ZHOU Xiujuan.Clinical Application of His Bundle Pacing in Patients with Heart Failure[J].Advances in Cardiovascular Diseases,2021,(8):64.[doi:10.16806/j.cnki.issn.1004-3934.2021.01.000]
[4]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.[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.[doi:10.16806/j.cnki.issn.1004-3934.2021.08.009]
[5]王秀秀 熊峰 邓晓奇 王淑珍 严霜霜 谭焜月 张丽娟.二维斑点追踪成像联合组织多普勒成像技术评价左束支起搏术后早期室间同步性[J].心血管病学进展,2022,(1):88.[doi:10.16806/j.cnki.issn.1004-3934.2022.01.022]
 WANG Xiuxiu,XIONG Feng,DENG Xiaoqi,et al.Evaluation of Interventricular Synchrony of Left Bundle Branch Pacing by Two-Dimensional Speckle Tracking Imaging and Tissue Doppler Imaging Technique[J].Advances in Cardiovascular Diseases,2022,(8):88.[doi:10.16806/j.cnki.issn.1004-3934.2022.01.022]
[6]胡奕然 金汉 华伟.希氏-浦肯野系统起搏动物实验研究的现况与展望[J].心血管病学进展,2022,(3):198.[doi:10.16806/j.cnki.issn.1004-3934.2022.03.000]
[7]喻瑜 华伟.希氏-浦肯野系统起搏用于治疗起搏诱导性心肌病的临床研究进展[J].心血管病学进展,2022,(6):481.[doi:10.16806/j.cnki.issn.1004-3934.2022.06.001]
 YU Yu,HUA Wei.Clinical Research Progress of His-Purkinje System Pacing in the Treatment of Pacing-Induced Cardiomyopathy[J].Advances in Cardiovascular Diseases,2022,(8):481.[doi:10.16806/j.cnki.issn.1004-3934.2022.06.001]
[8]陈铳铳 周秀娟.左束支起搏治疗心力衰竭的研究进展[J].心血管病学进展,2022,(2):137.[doi:10.16806/j.cnki.issn.1004-3934.2022.02.011]
 CHEN Chongchong,ZHOU Xiujuan.Left Bundle Branch Pacing in the Treatment of Heart Failure[J].Advances in Cardiovascular Diseases,2022,(8):137.[doi:10.16806/j.cnki.issn.1004-3934.2022.02.011]
[9]何强 王瑾 刘慧慧 李小明.左室间隔起搏的研究进展[J].心血管病学进展,2022,(10):906.[doi:10.16806/j.cnki.issn.1004-3934.2022.10.010]
 HE QiangWANG JinLIU HuihuiLI Xiaoming.Left Ventricular Septal Pacing[J].Advances in Cardiovascular Diseases,2022,(8):906.[doi:10.16806/j.cnki.issn.1004-3934.2022.10.010]
[10]王秀秀 谭焜月 熊峰.左束支起搏的最新进展[J].心血管病学进展,2021,(10):912.[doi:10.16806/j.cnki.issn.1004-3934.2021.10.012]
 WANG Xiuxiu,TAN Kunyue,XIONG Feng.Left Bundle Branch Pacing[J].Advances in Cardiovascular Diseases,2021,(8):912.[doi:10.16806/j.cnki.issn.1004-3934.2021.10.012]

备注/Memo

备注/Memo:
基金项目:重庆市教委青年基金项目(KJQN201800406)
共同第一作者:曹钰尉
通信作者:胥雪莲,E-mail:1270373757@qq.com
更新日期/Last Update: 2022-10-08