中国实用内科杂志2025，Vol.45Issue(5)：394-398,5.DOI:10.19538/j.nk2025050107
左束支起搏能否替代传统双室起搏-心脏再同步化治疗心衰
Can left bundle branch pacing replace traditional biventricular pacing-CRT as the treatment for heart failure
曾嘉欣 1邹建刚1
作者信息
- 1. 南京医科大学第一附属医院心血管内科,江苏 南京 210029
- 折叠
摘要
Abstract
Cardiac resynchronization therapy(CRT)is a important treatment for patients with chronic heart failure(HF)and electromechanical dyssynchrony.However,traditional biventricular pacing(BiVP)-CRT is associated with lead implantation failure and a considerable proportion of non-responders.Physiological pacing,mainly left bundle branch pacing(LBBP)has been rapidly developed in recent years.A series of studies have demonstrated that LBBP provides better left ventricular electromechanical resynchronization,cardiac function improvement and benefit in clinical outcomes compared to BiVP.Whether LBBP can replace traditional BiVP-CRT remains a key focus in clinical practice.In this article we aim to discuss this issue based on clinical studies,international and domestic guidelines,and expert consensus.关键词
左束支起搏/双心室起搏/心脏再同步化治疗/心力衰竭Key words
left bundle branch pacing/biventricular pacing/cardiac resynchronization therapy/heart failure分类
临床医学引用本文复制引用
曾嘉欣,邹建刚..左束支起搏能否替代传统双室起搏-心脏再同步化治疗心衰[J].中国实用内科杂志,2025,45(5):394-398,5.
