左束支区域起搏的最新应用进展分析  

Analysis of the Latest Application Progress of Left Bundle Branch Area Pacing

作　　者：张志翔[1] 葛良清 Zhang Zhi-xiang;Ge Liang-qing(Department of Cardiovascular Medicine,First People's Hospital of Changde City,Changde 415000,Hunan Province,China)

机构地区：[1]常德市第一人民医院心血管内科,湖南常德415000

出　　处：《中国社区医师》2022年第13期6-8,共3页Chinese Community Doctors

基　　金：常德市科学技术局技术研究与开发资金项目(编号:2019S191)。

摘　　要：传导系统起搏(conduction system pacing,CSP)是近几年出现的生理性起搏的基石。到目前为止,已经描述了两种不同的CSP模式:希氏束起搏(his bundle pacing,HBP)和左束支区域起搏(left bundle branch area pacing,LBBAP)。最近的发表的大型观察性研究已经证明了LBBAP在不同情况下的安全性和可行性。LBBAP具有良好的起搏电学参数(起搏阈值和R波感知)和较低的并发症发生率,包括导联翻修率<1%。在心脏再同步治疗(cardiac resynchronization therapy,CRT)适应证的患者中,LBBAP在短期随访中显示出明显的功能分级和左心室射血分数的改善作用。本综述主要介绍LBBAP技术的相关内容。Conduction system pacing(CSP)emerges as the cornerstone of physiological pacing in the recent years.So far,two different CSP modalities have been described:his bundle pacing(HBP)and left bundle branch area pacing(LBBAP).Recently published large-scale observational studies have demonstrated the safety and feasibility of LBBAP in different settings.LBBAP has good pacing electrical parameters(pacing threshold and R-wave perception)and low complication rates,including lead revision rates of<1%.In patients with cardiac resynchronization therapy(CRT)indications,LBBAP shows significant improvements on functional classification and left ventricular ejection fraction during short-term follow-ups.This review mainly introduces the related content of LBBAP technique.

关 键 词：心律失常 左束支区域起搏 左束支传导阻滞 

分 类 号：R654.2[医药卫生—外科学]