从无导联到经静脉起搏器与左束支区起搏的升级：病例报告。

IF 1.7 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Pace-Pacing and Clinical Electrophysiology Pub Date : 2024-08-01 Epub Date: 2024-01-24 DOI:10.1111/pace.14925

Pietro Palmisano, Antonio Parlavecchio, Alessandro Guido, Michele Accogli, Giovanni Coluccia

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引用次数: 0

摘要

一名患有永久性心房颤动和症状性阵发性房室传导阻滞（AVB）的 80 岁患者接受了无导联起搏器（L-PM）植入手术。植入七年后，由于房室传导阻滞向持续性发展，导致起搏需求增加，他患上了起搏诱发的心肌病。随后，他成功地将 L-PM 起搏器升级为带左束支区起搏（LBBAP）的经静脉起搏器（T-PM）。L-PM 起搏器与 T-PM 起搏器互不干扰，因此被关闭并废弃。升级一个月后，患者的心脏功能和机能均有明显改善。

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Upgrade from leadless to transvenous pacemaker with left bundle branch area pacing: A case report.

An 80-years-old patient with permanent atrial fibrillation and symptomatic, paroxysmal atrioventricular blocks (AVBs) underwent leadless pacemaker (L-PM) implantation. Seven years after implantation, as a consequence of a progression of the AVB towards a persistent form, resulting in an increased need for pacing, he developed a pacing-induced cardiomyopathy. He then underwent a successful upgrade from L-PM to a transvenous pacemaker (T-PM) with left bundle branch area pacing (LBBAP). The L-PM did not interfere with the T-PM and was turned off and abandoned. One month after the upgrading the patient showed a significant improvement in cardiac function and functional capacity.

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来源期刊

Pace-Pacing and Clinical Electrophysiology 医学-工程：生物医学

CiteScore

2.70

自引率

5.60%

发文量

209

审稿时长

2-4 weeks

期刊介绍： Pacing and Clinical Electrophysiology (PACE) is the foremost peer-reviewed journal in the field of pacing and implantable cardioversion defibrillation, publishing over 50% of all English language articles in its field, featuring original, review, and didactic papers, and case reports related to daily practice. Articles also include editorials, book reviews, Musings on humane topics relevant to medical practice, electrophysiology (EP) rounds, device rounds, and information concerning the quality of devices used in the practice of the specialty.