实用医学杂志2024，Vol.40Issue(13)：1846-1850,5.DOI:10.3969/j.issn.1006-5725.2024.13.014
左束支区域起搏对房室传导阻滞患者术后新发房性心律失常的影响
Effect of left bundle branch area pacing on new-onset atrial arrhythmia after implantation
摘要
Abstract
Objective To investigate the effect of left bundle branch area pacing(LBBaP)on new-onset atrial fibrillation(NOAF)and atrial high rate episodes(AHREs)in patients with atrioventricular block(AVB).Methods Eighty-four patients with Ⅲ°AVB for pacemaker implantaion were divided into the LBBaP group(n=42)and the RVSP group(n=42)based on the site of the ventricular leads.The two groupswere compared in terms of the pre-and post-operative QRSd,ventricular pacing parameters,complications,incidence of stroke,NOAF and AHREs.Results(1)The incidence of postoperative NOAF and AHREs in the LBBaP group was significantly lower compared with RVSP group(P<0.05).(2)The p-QRSd in the LBBaP group was significantly shorter compared with RVSP group(P<0.05).(3)The two groups showed no significant differences in ventricular pacing parameters,incidence of complications and stroke events(P>0.05).Conclusion LBBaP is superior to right ventricular pacing in reducing the incidence of postoperative AHREs and NOAF in patients after implantation and improving the prognosis of patients.关键词
左束支区域起搏/右室起搏/心房颤动/心房高频事件/房室传导阻滞Key words
left bundle branch area pacing/right ventricular pacing/atrial fibrillation/atrial high rate episodes/atrioventricular block分类
医药卫生引用本文复制引用
张永旭,王岳松,杨达,董学滨,曹明勇,汪韶君,涂克祥..左束支区域起搏对房室传导阻滞患者术后新发房性心律失常的影响[J].实用医学杂志,2024,40(13):1846-1850,5.基金项目
马鞍山市科技计划项目(编号:YL2019-04) （编号:YL2019-04）
