[1]司晓云 周纬 谌晶晶 莫显刚 王龙 段小容.希氏束起搏与右室心尖部起搏对老年患者心功能影响的对比分析[J].心血管病学进展,2019,(7):1052-1055.[doi:10.16806/j.cnki.issn.1004-3934.2019.07.022]
　SI Xiaoyun ZHOU W eiSHEN JingjingMO XiangangWANG LongDUAN Xiaorong.A Comparative Study of Cardiac Function between Hirschner Bundle Pacing and Right Ventricular Aapex Pacing in Elderly Patients[J].Advances in Cardiovascular Diseases,2019,(7):1052-1055.[doi:10.16806/j.cnki.issn.1004-3934.2019.07.022]
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希氏束起搏与右室心尖部起搏对老年患者心功能影响的对比分析()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2019年7期
页码:
1052-1055
栏目:
论著
出版日期:
2019-10-25

文章信息/Info

Title:
A Comparative Study of Cardiac Function between Hirschner Bundle Pacing and Right Ventricular Aapex Pacing in Elderly Patients
作者:
司晓云1; 2 周纬2 谌晶晶2 莫显刚2 王龙2 段小容2
2 段小容2 (1. 南方医院心血管内科,广东 广州 510515 ;2. 贵州医科大学附属医院心血管内科,贵州 贵阳 550004)
Author(s):
SI Xiaoyun12 ZHOU W ei2SHEN Jingjing2MO Xiangang2WANG Long2DUAN Xiaorong2
(1. Department of CardiologyNanfang Hospital,Guangdong510515, guangzhou,China2.Department of CardiologyAffiliated Hospital,Guizhou Medical UniversityGuiyang 550004guizhouChina.)
关键词:
希氏束起搏; 右室心尖部起搏; 老年; 房室传导阻滞; 心功能
Keywords:

font-size: 12pt; ">Hirschner bundle pacing font-size: 12pt; ">;  font-size: 12pt; ">?right ventricular apex pacing font-size: 12pt; ">; elderly;  Atrioventricular block font-size: 12pt; "> ' target="_blank" rel="external">">;  font-size: 12pt; ">Cardiac Function

DOI:
10.16806/j.cnki.issn.1004-3934.2019.07.022
摘要:
目的 探讨希氏束与右室心尖部不同起搏部位对老年患者心功能的影响。方法 选取广东省某三甲医院2017年1月—2018年9月右室心尖部起搏器植入的老年患者41例作为右室起搏组，同期收治行希氏束起搏植入的32例老年患者作为希氏束起搏组。记录患者入院时的一般资料，分析起搏器植入时的起搏参数，分析术后3个月随访时的心脏超声指标。结果 两组患者的一般资料情况无明显差异。两组患者起搏植入术后的阈值、R波振幅、电极阻抗无明显差异。右室起搏组植入术后较术前QRS波群明显增宽（P＜0.01），与希氏束起搏组相比QRS波群明显增宽（P＜0.01）。术后3个月随访时希氏束起搏组的射血分数、心排血量、每搏量、心排血指数、均优于右室起搏组（均 P＜0.01）。结论 与右室心尖部起搏相比，希氏束起搏可以明显改善老年患者的心功能。
Abstract:

Objective ??To evaluate the cardiac function between Hirschner bundle pacing (HBP) and right ventricular apex pacing (RVP) in elderly patients. Methods? ?Forty-one subjects were regarded as a control group, and 32 cases from a third grade hospital in Guangdong were regarded as a treatment group from January 2017 to September 2018. ?The general information of patients were collected at admission, and pacemaker parameters were also recorded when embedding. All cases were followed up at 3 ?months after pacemaker implantation and the cardiac function were measured by ultrasound. Results ? There are no differences in the general characteristics of patients and the pacemaker parameters when embedding . The QRS wave duration in control group was significantly wider than before implantation （ P ＜ 0.01 ） . The ejection fraction, cardiac output, stroke output, cardiac index in HBP group were better than those in VBP group at 3 months follow-up （ P ＜ 0.01 ） . Conclusion ? Compared with RVP, ?HBP can significantly improve cardiac function in elderly patients.

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更新日期/Last Update: 2019-12-17