中国实用内科杂志2025，Vol.45Issue(5)：389-393,5.DOI:10.19538/j.nk2025050106
左束支区域起搏能否替代右心室起搏治疗心功能正常的心动过缓
Can left bundle branch area pacing replace right ventricular pacing in the treatment of bradycardia patients with normal cardiac function
朱凯伦 1樊晓寒1
作者信息
- 1. 中国医学科学院阜外医院心律失常一病区,北京 100037
- 折叠
摘要
Abstract
Left bundle branch area pacing(LBBAP)preserves better physiologic left ventricular electrical and mechanical systolic synchrony compared with traditional right ventricular pacing(RVP),and some patients can obtain better biventricular synchrony.For patients with high pacing burden,LBBAP can reduce the risk of new-onset atrial fibrillation,reduce the risk of cardiac function deterioration induced by RVP,and improve cardiac function in some RVP induced cardiomyopathy by upgrading to LBBAP.With the increase in experience and the improvement in implantation technique,the procedural time and success rate of LBBAP are basically similar those of conventional RVP in clinical practice,with lower rate of complications such as lead dislodgement.Considering the safety and effectiveness,clinical feasibility and long-term benefit,LBBAP is expected to replace traditional RVP and become a routine pacing strategy for bradycardia patients with normal cardiac function.关键词
左束支区域起搏/生理性起搏/右心室起搏/缓慢性心律失常Key words
left bundle branch area pacing/physiological pacing/right ventricular pacing/bradyarrhythmia分类
临床医学引用本文复制引用
朱凯伦,樊晓寒..左束支区域起搏能否替代右心室起搏治疗心功能正常的心动过缓[J].中国实用内科杂志,2025,45(5):389-393,5.
