右心室间隔部心脏起搏的研究进展  

The Research Progress of Right Ventricular Septal Pacing

作　　者：邢智[1] 木胡牙提.乌拉斯汉 

机构地区：[1]新疆医科大学第一附属医院综合心脏内科,乌鲁木齐830054

出　　处：《医学综述》2015年第2期246-248,共3页Medical Recapitulate

摘　　要：随着对生理性起搏认识的不断深入,人们意识到要做到生理性起搏不仅要保证房室顺序、频率适应性起搏,还应减少不必要的右心室心尖部起搏(最小化心室起搏策略);保持心肌电-机械收缩活动的同步性(最大化近生理起搏部位的选择)。在接近正常传导束(His)处行电极起搏可以提供接近人体正常的生理性传导,由此减少双心室非同步运动带来的种种弊端,这种起搏方式称之为选择部位起搏。右心室间隔部起搏作为选择性起搏的一种已成为近来的研究热点,该文就右心室间隔部起搏的最新研究进展予以综述。Along with the deepening of the understanding of physiological pacemaker,people realize to do physiologic pacing not only the atrioventricular sequential,frequency adaptive pacemaking should be guaranteed,but also the unnecessary of right ventricular apex pacing should be reduced; the ventricular electrical and mechanical ventricular muscle contraction activities should be kept synchronized. Pacing near the His bundle can provide approximate physiological conduction,which can reduce the damage to the heart function due to non-synchronization. This pacing mode is called selective site pacing. Right ventricular septal pacing as a selective pacing has become a research hotspot recently,and here is to make a review of the latest research progress in this field.

关 键 词：右心室间隔部 右心室心尖部 生理性起搏 心功能 

分 类 号：R541[医药卫生—心血管疾病]