左束支起搏的临床应用现状  

Clinical practice of left bundle branch pacing in the present

作　　者：钱步云 陈璐[1] 徐桂冬[1] 马雪兴 张南南 李渊[1] 孙康云[1] 邹建刚[2] Qian buyun;Chen lu;Xu guidon;Ma xuexing;Zhang nannan;Li yuan;Sun kangyun;Zou jiangang(Suzhou Hospital affiliated to Nanjing Medical University,Suzhou,215008,Jiangsu,China;The First Affiliated Hospital of Nanjing Medical University,Nanjing,210029,Jiangsu,China)

机构地区：[1]南京医科大学附属苏州医院,215008 [2]南京医科大学第一附属医院,210029

出　　处：《临床心电学杂志》2021年第5期385-390,共6页Journal of Clinical Electrocardiology

摘　　要：希氏束-浦肯野系统起搏夺获心脏的正常传导系统,被认为是最具生理性的起搏方式。与希氏束起搏(HBP)相比,左束支起搏(LBBP)的阈值更低,心室感知更好,操作成功率更高,且有左室间隔部作为备份起搏点,更具有优势。随着对LBBP的深入研究,其操作规范性、应用适应症、并发症防治等逐步完善。本文就左束支起搏的特点,操作步骤,临床应用及研究进展等进行综述。His-purkinje system pacing is considered to be the most physical pacing method as it captures the normal conduction system of the heart. Compared with His bundle pacing(HBP), Left bundle branch pacing(LBBP)has more advantages including lower threshold, better ventricular perception and higher operation success rate. In addition, it has the left ventricular septum as a backup pacing point. With further study on LBBP, the standardization of operation, application indications, prevention and treatment of complications, ect. are gradually improved. This article reviews the characteristics, operating procedures, clinical applications and research progress of left bundle branch pacing.

关 键 词：左束支起搏 左束支区域起搏 心脏再同步化治疗 生理性起搏 

分 类 号：R541.7[医药卫生—心血管疾病] R540.41[医药卫生—内科学]