[1]李佳霖 李常青于海波 梁延春.心脏再同步化治疗方法应用现状与进展[J].心血管病学进展,2023,(12):1065.[doi:10.16806/j.cnki.issn.1004-3934.2023.12.003]
　LI Jialin,LI Changqing,YU Haibo,et al.Current Status and Progress of Cardiac Resynchronization Therapy[J].Advances in Cardiovascular Diseases,2023,(12):1065.[doi:10.16806/j.cnki.issn.1004-3934.2023.12.003]
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心脏再同步化治疗方法应用现状与进展()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2023年12期
页码:
1065
栏目:
综述
出版日期:
2023-12-25

文章信息/Info

Title:
Current Status and Progress of Cardiac Resynchronization Therapy
作者:
李佳霖 1李常青1; 2于海波1 梁延春1
（1.北部战区总医院心血管内科,辽宁 沈阳 110016；2.大连医科大学研究生院,辽宁 大连 116044)
Author(s):
LI Jialin1;  LI Changqing1; 2;  YU Haibo1;  ZHANG Quanyu1;  LIANG Yanchun1
Department of Cardiology,General Hospital of Northern Theater Command,Shenyang 110016,Liaoning,China; 2. The Graduate School of Dalian Medical University,Dalian 116044,Liaoning,China)
关键词:
心脏再同步化治疗; 室间隔; 起搏; 心力衰竭
Keywords:
Cardiac resynchronization therapy;  Interventricular septum;  Pacing;  Heart failure
DOI:
10.16806/j.cnki.issn.1004-3934.2023.12.003
摘要:
心脏收缩失同步是慢性心力衰竭患者心功能恶化的重要因素之一。心脏再同步化治疗（CRT）是通过起搏的方法来改善患者的电-机械同步性，从而改善患者的心功能及远期预后。传统CRT方法主要指双心室起搏。近年来传导束起搏包括希氏束起搏及左束支起搏在改善及恢复患者的同步性方面也展示潜在的应用前景。在上述方法效果不理想时，于国际上首次提出双侧间隔部起搏联合冠状静脉起搏可进行CRT，其可作为CRT方法学的重要补充。现复习既往文献，对CRT方法学进行综述。
Abstract:
Cardiac dyssynchronization is one of the significant factors leading to deterioration of cardiac function among chronic heart failure patients. Cardiac resynchronization therapy (CRT) through pacing is an established treatment to improve electrical-mechanical synchronization of patients. Traditional CRT mainly refers to biventricular pacing. In recent years, conduction system pacing including His bundle pacing and left bundle branch pacing has also shown potential in improving and restoring synchronization. When the above methods can’t deliver satisfactory synchronization, Liang et firstly proposed that bilateral septal pacing combined with coronary vein pacing can serve as a method of CRT and an important supplement to CRT methodology. This article reviews previous literature and provides a review of CRT methodology

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备注/Memo

备注/Memo:
收稿日期：2023-07-01基金项目：国家自然科学基金资助项目（32071116）
更新日期/Last Update: 2024-01-19