希浦系统起搏在心脏再同步化治疗中的应用  

Application of His-Purkinje System Pacing in Cardiac Resynchronization Therapy

作　　者：苗旺[1] 张楠[2] 王睿[2] MIAO Wang;ZHANG Nan;WANG Rui(Shanxi Medical University,Taiyuan 030001,Shanxi,China;Department of Cardiology,The First Hospital of Shanxi Medical University,Taiyuan 030001,Shanxi,China)

机构地区：[1]山西医科大学,山西太原030001 [2]山西医科大学第一医院心血管内科,山西太原030001

出　　处：《心血管病学进展》2021年第8期707-710,共4页Advances in Cardiovascular Diseases

摘　　要：心脏再同步化治疗(CRT)是难治性心力衰竭的有效治疗手段,传统的双心室起搏植入过程复杂,受解剖影响较大,且约30%的患者植入后无反应。希氏束起搏刺激信号沿生理途径传导,有利于恢复心脏电-机械同步性,逆转心室重塑,多项研究肯定了其在CRT中的价值。左束支起搏是近年来兴起的新方法,通过激动左束支区域改善心脏泵血功能,在临床实践中获益显著,起搏参数表现稳定,是目前研究的热点。现以希浦系统起搏为核心,系统介绍希浦系统解剖、希浦系统起搏在CRT的应用及存在的问题,并对未来进行展望。Cardiac resynchronization therapy(CRT)is an effective treatment for refractory heart failure.The traditional biventricular pacing implantation process is complicated,which is greatly affected by anatomy,and about 30%of patients have no response after implantation.His bundle pacing stimulation signal is transmitted along physiological pathways,which is beneficial to restore the electrical-mechanical synchronization of the heart and reverse ventricular remodeling.A number of studies have confirmed its value in CRT.Left bundle branch pacing is a new method that has emerged in recent years.It improves the pumping function of the heart by stimulating the left bundle branch area.It has significant benefits in clinical practice.The performance of pacing parameters is stable.It is a hot research topic.Now with the pacing of the Hippo system as the core,this review introduces the anatomy of the Hippo system,the application of the pacing of the Hippo system in CRT and the existing problems,and looks forward to the future.

关 键 词：希浦系统 心脏再同步化治疗 希氏束起搏 左束支起搏 

分 类 号：R54[医药卫生—心血管疾病]