心脏生理性起搏技术的研究进展  

Progress of Cardiac Physiological Pacing in the Heart

作　　者：罗智 李芳 陈忠军[1] 肖祥彬 LUO Zhi;Li Fang;CHEN Zhong-jun;XIAO Xiang-bin(Department of Cardiovascular Medicine,people’s Hospital of Jianyang City,Jianyang 641400,China)

机构地区：[1]简阳市人民医院心血管内科,四川省简阳市641400

出　　处：《中国心血管病研究》2023年第1期72-77,共6页Chinese Journal of Cardiovascular Research

基　　金：成都市医学科研课题立项项目(2020157)。

摘　　要：生理性起搏是心脏起搏领域追求的目标,除心脏再同步化起搏治疗之外,希氏束起搏(HBP)是过去多年生理性起搏技术的重要进展,小规模单中心临床研究证实HBP具有可行性,安全性及有效性,但由于HIS束特殊的解剖特点,HBP存在夺获成功率偏低和起搏阈值偏高,造成远期安全性与可靠性的顾虑。左束支区域起搏是HBP基础上的进步,相比HBP有一定优势,兼顾了起搏的生理性和安全性。本文基于目前国内外关于希浦系统起搏的研究背景和现状,综述心脏生理性起搏的传统和新认识上的进步。Physiologic pacing is an unremitting pursuit in the field of cardiac pacing.In addition to cardiac resynchronization therapy,his bundle pacing(HBP)is an important advance in physiologic pacing technology in the past years,HBP was proved to be feasible,safe and effective in small-scale single-center clinical study.However,because of the special anatomic characteristics of HIS,HBP has a low capture success rate and a high pacing threshold,resulting in concerns about long-term safety and reliability.Left bundle branch regional pacing(LBBAP)is the further development and effective supplement of HBP.Based on the current research background and status of his bundle and purkinje fibers system pacing,this article reviews some concepts and new understandings of physiological cardiac pacing.

关 键 词：生理性起搏 希氏束起搏 左束支区域起搏 

分 类 号：R541.7[医药卫生—心血管疾病]