His-Bundle 起搏治疗先天性心脏病伴心动过缓的肺动脉高压：病例报告。

IF 1.7 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Pace-Pacing and Clinical Electrophysiology Pub Date : 2024-10-22 DOI:10.1111/pace.15098

Daiji Takeuchi, Takashi Fujii, Tomomi Nishimura, Kei Inai, Morio Shoda

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引用次数: 0

摘要

心动过缓、房性心动过速、心力衰竭、残余分流和肺动脉高压（PH）是先天性心脏病手术后的主要问题。我们为一名肺静脉回流异常全修补术后并发心动过缓、高血压、肺动脉高压、残留房室分流和心衰的女性患者实施了氦束起搏（HBP）治疗耐药的肺动脉高压伴心动过缓。HBP术后PH明显改善，但左心室功能没有恶化。我们在 HBP 12 个月后成功关闭了房室分流。

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His-Bundle Pacing for Pulmonary Hypertension With Bradycardia in Congenital Heart Disease: A Case Report.

Bradycardia, atrial tachyarrhythmia, heart failure, residual shunts, and pulmonary hypertension (PH) are significant problems after congenital heart disease surgery. We performed His-bundle pacing (HBP) for drug-resistant PH with bradycardia in a woman post-total anomalous pulmonary venous return repair complicated by bradycardia, hypertension, PH, residual atrial shunts, and heart failure. Significant improvement in PH post-HBP was achieved without exacerbation of left ventricular function. We successfully closed the atrial shunts 12 months after HBP.

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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.