希氏束起搏在心力衰竭患者中的临床应用进展  

Clinical Application of His Bundle Pacing in Patients with Heart Failure

作　　者：陈益帆 周秀娟[1,2] CHEN Yifan;ZHOU Xiujuan(Nanjing Medical University Graduate School,Nanjing 210029,Jiangsu,China;Department of Cardiology,The First Affiliated Hospital with Nanjing Medical University,Nanjing 210029,Jiangsu,China)

机构地区：[1]南京医科大学研究生院,江苏南京210029 [2]南京医科大学第一附属医院心内科,江苏南京210029

出　　处：《心血管病学进展》2021年第1期64-67,共4页Advances in Cardiovascular Diseases

摘　　要：传统的右室起搏并非理想的起搏位点,可引起心脏收缩不同步,导致起搏介导的心肌病,增加心力衰竭住院率。希氏束起搏是生理性起搏方式,在维持心脏电及机械同步性方面具有优势。对于心房颤动合并心力衰竭、起搏介导心肌病及需再同步化治疗的患者,希氏束起搏可维持并改善心功能。目前希氏束起搏在心力衰竭患者中的应用逐渐增多,现综述该领域的进展。Conventional right ventricular pacing has been considered not an ideal pacing site,which may cause ventricular systolic dyssynchrony,lead to pacing-induced cardiomyopathy,and increase hospitalization rate for heart failure.His bundle pacing(HBP),a physiological form of pacing,has advantage in preserving electrical and mechanical synchronization.In atrial fibrillation patients with heart failure,pacing-induced cardiomyopathy and requiring cardiac resynchronization therapy,HBP can maintain and improve cardiac function.At present,the application of HBP in patients with heart failure is increasing gradually.This paper reviews the progress in this field.

关 键 词：希氏束起搏 生理性起搏 心力衰竭 心脏再同步化治疗 

分 类 号：R541.7[医药卫生—心血管疾病]