左束支区域起搏应用于合并左束支阻滞心力衰竭患者的研究进展  

Research Progress on the Application of Left Bundle Branch Area Pacing in Patients With Concomitant Left Bundle Branch Block and Heart Failure

作　　者：陈冠之 丁立刚 CHEN Guanzhi;DING Ligang(Arrhythmia Center,National Center for Cardiovascular Diseases and Fuwai Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100037,China)

机构地区：[1]中国医学科学院、北京协和医学院、国家心血管病中心阜外医院、心律失常中心,北京100037

出　　处：《中国循环杂志》2024年第2期199-203,共5页Chinese Circulation Journal

基　　金：2021~2023心脏电生理科研培训基金(T2023-ZX015)。

摘　　要：生理性起搏如希氏束起搏和左束支区域起搏能明显改善心脏电机械收缩同步性,而左束支区域起搏相较于希氏束起搏植入成功率高,起搏阈值低而稳定,且并发症发生率较低。左束支区域起搏用于合并左束支阻滞的慢性心力衰竭患者的可行性、安全性和有效性已得到初步证实,逐渐成为研究的热点。现就左束支区域起搏在合并左束支阻滞的心力衰竭患者中的相关研究及进展做一综述。Physiological pacing,such as His bundle pacing and left bundle branch area pacing,could significantly enhance cardiac electromechanical synchrony.Compared to His bundle pacing,left bundle branch area pacing is associated with higher implantation success,lower and stable pacing thresholds,and lower complications.The feasibility,safety,and efficacy of left bundle branch area pacing in patients with chronic heart failure and concomitant left bundle branch block have been preliminarily confirmed,making this strategy as a gradually emerging research focus now.This article aimed to summarize relevant study results and advancements of left bundle branch area pacing in patients with combined left bundle branch block and heart failure.

关 键 词：左束支区域起搏 慢性心力衰竭 左束支阻滞 临床应用 

分 类 号：R54[医药卫生—心血管疾病]