[1]褚松筠 盛琴慧 周菁.优化程控改善Micra AV无导线起搏器的房室同步性——临床研究和专家建议[J].心血管病学进展,2025,(11):961.[doi:10.16806/j.cnki.issn.1004-3934.2025.11.001]
 CHU Songyun,SHENG Qinhui,ZHOU Jing.Optimize Programming of Leadless Pacemaker Micra AV to Improve Atrioventricular SynchronClinical Studies and Experts Recommendation[J].Advances in Cardiovascular Diseases,2025,(11):961.[doi:10.16806/j.cnki.issn.1004-3934.2025.11.001]
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优化程控改善Micra AV无导线起搏器的房室同步性——临床研究和专家建议()

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

卷:
期数:
2025年11期
页码:
961
栏目:
综述
出版日期:
2025-11-25

文章信息/Info

Title:
Optimize Programming of Leadless Pacemaker Micra AV to Improve Atrioventricular SynchronClinical Studies and Experts Recommendation
作者:
褚松筠 盛琴慧 周菁
(北京大学第一医院心内科,北京 100034)
Author(s):
CHU SongyunSHENG QinhuiZHOU Jing
(Department of Cardiology,Peking University First Hospital,Beijing 100034,China)
关键词:
无导线起搏器程序控制房室同步性
Keywords:
Leadless pacemaker Programming Atrioventricular synchrony
DOI:
10.16806/j.cnki.issn.1004-3934.2025.11.001
摘要:
无导线起搏技术是心动过缓器械治疗的重要进步,对于静脉通路受限、高龄、严重合并症的患者有独到优势。心室植入VDD起搏的Micra AV极大拓展了应用人群,但依赖心室加速度计感知心房机械收缩进行跟踪起搏的算法使得房室同步起搏个体差异较大,优化程控的策略有助于改善动态房室同步性。本文基于既往研究和近期的欧洲专家小组共识进行综述,旨在对植入Micra AV的患者优化程控的临床实践提供建议。
Abstract:
The leadless pacing technique is an important advancement in the device treatment of bradycardia. For patients with limited vascular access, advanced age, and comorbidities, leadless pacing has unique advantages. The Micra AV implanted in the ventricle with VDD mode has greatly expanded the application population. Ventricular pacing is triggered by sensing atrial mechanical contraction with an accelerator. However , different degrees of atrioventricular synchronized pacing are observed between subjects. Optimized programming might help to improve the?dynamic atrioventricular synchrony of the device. This article reviews based on previous research and recent consensus of the European expert group ,aiming to provide suggestions for optimizing programming for patients with Micra AV in clinical practice.

参考文献/References:

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更新日期/Last Update: 2026-03-06