中国实用内科杂志2025，Vol.45Issue(5)：381-388,8.DOI:10.19538/j.nk2025050105
左束支区域起搏定义与判断标准评价
Definition and evaluation of criteria for left bundle branch area pacing
摘要
Abstract
Left bundle branch pacing(LBBP),as an important form of conduction system pacing,not only preserves physiological ventricular synchrony but also ensures the safety of myocardial pacing.Clinically,left bundle branch area pacing(LBBAP)can be classified based on the presence of left bundle capture evidence into LBBP,left ventricular septal pacing(LVSP)or unclassified LBBAP where LBB capture testing is not performed or LBB capture is uncertain.Due to the broad target where LBB is implanted and the abundance of surrounding myocardium,LBBAP exhibits diverse paced morphologies.Given that the conduction velocity of the bundle is significantly faster than that of the myocardium,capture of the left bundle branch results in distinct changes in paced characteristics,including alterations in the paced QRS morphology,stimulus-to-left ventricular activation time,and intracardiac electrogram characteristics.These electrophysiological features can serve as key indicators for assessing left bundle branch capture.This article reviews the definitions,classifications,and evaluation criteria of LBBAP and explores its feasibility and advantages in clinical applications.关键词
左束支区域起搏/左束支起搏/定义/夺获标准Key words
left bundle branch area pacing/left bundle branch pacing/definition/capture criteria分类
临床医学引用本文复制引用
吴圣杰,黄伟剑..左束支区域起搏定义与判断标准评价[J].中国实用内科杂志,2025,45(5):381-388,8.基金项目
浙江省医药卫生科技计项目(2024KY1242) （2024KY1242）
国家自然科学基金青年项目(81900345) （81900345）
