His束起搏治疗扩张型心肌病伴完全性左束支阻滞患者的心力衰竭(附二例报道)  

His-bundle pacing for cardiac resynchronization therapy in two patients with complete left bundle branch block and dilated cardiomyopathy

作　　者：马建军[1] 高学忠[1] 阿米娜.马合木提 吴高俊[2] 

机构地区：[1]新疆阿克苏地区第一人民医院心内科,新疆阿克苏843002 [2]温州医学院附属第一医院心内科,浙江温州325000

出　　处：《中国心脏起搏与心电生理杂志》2015年第6期537-540,共4页Chinese Journal of Cardiac Pacing and Electrophysiology

基　　金：自治区级自然科学基金(项目编号:201318101-10)

摘　　要：2例均为扩张型心肌病合并完全性左束支传导阻滞(CLBBB),NYHA心功能Ⅲ级,在接受心脏再同步化过程中,左室电极不能到达靶静脉,改用His束起搏治疗。1例57岁男性患者,随访10个月,临床症状明显改善,QRS波恢复正常,左室及左室射血分数恢复正常。另1例50岁的男性患者,随访12个月,临床症状明显改善,QRS波恢复正常,左室及左室射血分数恢复正常。We report two cases of dilated cardiomyopathy with complete left bundle branch block （CLBBB）, NYHA cardiac function grade Ⅲ, two patients planned to receive biventricular cardiac resynchronization operation process, however the left ventricular pacing lead could not reach the target vein during implantation, then His bundle pacing （HBP）strategy was taken. In one case, a 57 - year-old male patient was followed up for 10 months after HBP, his symptoms improved greatly , QRS duration narrowed ,left ventricle size as well as left ventricular ejection fraction recovered to normal. In another case of a 50- yearold male patient, the same occurred after 12 months of follow-up. [ Chinese Journal of Cardiac Pacing and Electrophysiology, 2015,29 （ 6 ） ：537-540 ]

关 键 词：心血管病学 His束起搏 左束支传导阻滞 扩张型心肌病 

分 类 号：R542.2[医药卫生—心血管疾病] R541.76[医药卫生—内科学]