His-bundle 起搏的中期表现和备用导联的作用。

IF 7.9 1区医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

Europace Pub Date : 2024-07-02 DOI:10.1093/europace/euae168

Julia Herbert, Arianne Kovacsovics, Rita Brito, Nicolas Masson, Haran Burri

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引用次数: 0

摘要

对于选定的 His 束起搏（HBP）患者，可以考虑使用心室备用导联，但这种方法的作用有多大仍是未知数。共对 184 名 HBP 患者进行了研究。在最后一次随访中，147 名（79.9%）患者在编程输出时保留了 His 束捕获。5/36（13.9%）名无备用导联的患者和3/148（2.0%）名有备用导联的患者进行了 HBP 导联修正（P=0.008）。一名无备用导联的患者因心房超感而出现晕厥。因此，在选定的 HBP 患者中植入心室备用导联可避免导联翻修和不良事件的发生。

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Mid-term performance of His bundle pacing and usefulness of backup leads.

Ventricular backup leads may be considered in selected patients with His bundle pacing (HBP), but it remains unknown to what extent this is useful. A total of 184 HBP patients were studied. At last follow-up, 147 (79.9%) patients retained His bundle capture at programmed output. His bundle pacing lead revision was performed in 5/36 (13.9%) patients without a backup lead and in 3/148 (2.0%) patients with a backup lead (P = 0.008). One patient without a backup lead had syncope due to atrial oversensing. Thus, implantation of ventricular backup leads may avoid lead revision and adverse events in selected HBP patients.

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来源期刊

Europace 医学-心血管系统

CiteScore

10.30

自引率

8.20%

发文量

851

审稿时长

3-6 weeks

期刊介绍： EP - Europace - European Journal of Pacing, Arrhythmias and Cardiac Electrophysiology of the European Heart Rhythm Association of the European Society of Cardiology. The journal aims to provide an avenue of communication of top quality European and international original scientific work and reviews in the fields of Arrhythmias, Pacing and Cellular Electrophysiology. The Journal offers the reader a collection of contemporary original peer-reviewed papers, invited papers and editorial comments together with book reviews and correspondence.