陕西医学杂志2024，Vol.53Issue(1)：68-71,4.DOI:10.3969/j.issn.1000-7377.2024.01.015
希氏束起搏与右心室心尖部起搏对房室传导阻滞患者心脏结构学参数与功能学参数影响的临床研究
Effects of His bundle pacing and RVA pacing on cardiac structural parameters and functional parameters in patients with atrioventricular block
摘要
Abstract
Objective:To explore the effects of His bundle pacing(HBP)and right ventricular apex pacing(RVAP)on cardiac structural parameters and functional parameters in patients with atrioventricular block(AVB).Methods:A total of 104 patients with AVB were selected as the study subjects,and they were randomly divided into HBP group and RVAP group,with 52 cases in each group.The HBP group received HBP treatment,and the RVAP group received RVAP treatment.Cardiac structural parameters(left atrial end-systolic diameter[LVESD],left ven-tricular end-diastolic diameter[LVEDD],interventricular septal thickness[IVS],left ventricular posterior wall thickness[L VP W]),cardiac pacing parameters,heart rate and hemodynamic parameters(heart rate[HR],stroke volume[SV],Cardiac Index[CI],left ventricular ejection fraction[LVEF])and QRS wave duration were compared between the two groups before and after surgery.Results:There were no statistically significant differences in cardiac structural parameters such as LVESD,LVESDD,IVS and LVPW between the two groups before and after surgery(all P＞0.05).There were no statistical differences in cardiac pacing threshold,R-wave amplitude and electrode im-pedance during surgery,at 1 month after surgery and at 6 months after surgery(all P＞0.05).There were no statis-tically significant differences in HR,SV,CI,LVEF and QRS duration between the two groups before and 1 month af-ter operation(all P＞0.05).At 6 months after operation,HR,SV,CI and LVEF in the HBP group were significantly higher than those in the RVAP group(all P＜0.05),and QRS duration in the RVAP group was significantly lower than that in the HBP group(P＜0.05).Conclusion:The electromechanical synchronization of HBP in patients with AVB is better than that of RVAP,and its short-term cardiac hemodynamics and cardiac function stability are good.关键词
希氏束起搏/右心室心尖部起搏/房室传导阻滞/心脏结构学/心功能/血流动力学Key words
His bundle pacing/Right ventricular apex pacing/Atrioventricular block/Cardiac structure/Cardiac function/Hemodynamics分类
医药卫生引用本文复制引用
黄琴,李奎,王建灵,周红,钟惠,朱正芬..希氏束起搏与右心室心尖部起搏对房室传导阻滞患者心脏结构学参数与功能学参数影响的临床研究[J].陕西医学杂志,2024,53(1):68-71,4.基金项目
四川省宜宾市科技计划项目(2021SF003) （2021SF003）
