生理起搏和心力衰竭:希望还是炒作?]

Q4 Medicine
Victoria Johnson, Carlos Antepara, Reza Wakili, Jörn Schmitt
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引用次数: 0

摘要

心力衰竭治疗的基石包括四大支柱药物治疗。存在心力衰竭和完全性左束支传导阻滞的患者,或有心脏起搏器治疗心动过缓和心力衰竭指征的患者,可从生理刺激中获益。对于左束分支阻滞和左心室收缩泵功能(HFrEF)严重受损的患者,心脏再同步治疗(CRT)迄今为止是金标准。然而,现在越来越有可能使用新的刺激形式直接刺激传导系统,并取得类似的临床结果。目前,左束支区起搏(LBBAP)是临床研究中最常用的刺激形式。一种特殊的情况出现在起搏器引起的心肌病与右心室起搏。在这方面,LBBAP无疑是希望的灯塔。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Physiological pacing and heart failure : Hope or hype?]

The cornerstone of heart failure treatment consists of a four pillar drug therapy. Patients with existing heart failure and complete left bundle branch block, or patients with an indication for pacemaker therapy for bradycardia and heart failure, benefit from physiological stimulation. For patients with left bundle branch block and severely impaired left ventricular systolic pump function (HFrEF), cardiac resynchronisation therapy (CRT) has so far been the gold standard. However, it is now increasingly possible to stimulate the conduction system directly using new forms of stimulation and to achieve similar clinical results. At present, left bundle branch area pacing (LBBAP) is the form of stimulation most frequently investigated in clinical studies. A special situation arises in the case of pacemaker-induced cardiomyopathy with right ventricular apical pacing. Here, LBBAP is certainly a beacon of hope.

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来源期刊
Herzschrittmachertherapie und Elektrophysiologie
Herzschrittmachertherapie und Elektrophysiologie Medicine-Cardiology and Cardiovascular Medicine
CiteScore
1.10
自引率
0.00%
发文量
76
期刊介绍: Mit wissenschaftlichen Original- und Übersichtsarbeiten, Berichten über moderne Operationstechniken und experimentelle Methoden ist die Zeitschrift Herzschrittmachertherapie + Elektrophysiologie ein Diskussionsforum für Themen wie: - Zelluläre Elektrophysiologie - Theoretische Elektrophysiologie - Klinische Elektrophysiologie - Angewandte Herzschrittmachertherapie - Bradykarde und tachykarde Herzrhythmusstörungen - Plötzlicher Herztod und Risikostratifikation - Elektrokardiographie - Elektromedizinische Technologie - Experimentelle und klinische Pharmakologie - Herzchirurgie bei Herzrhythmusstörungen Mitteilungen der Arbeitsgruppen Herzschrittmacher und Arrhythmie der Deutschen Gesellschaft für Kardiologie - Herz und Kreislaufforschung e.V. (DGK) sowie Stellungnahmen und praktische Hinweise runden das breite Spektrum dieser Zeitschrift ab. Interessensgebiete: Kardiologie, Herzschrittmachertherapie, Herzschrittmachertechnologie, klinische Elektrophysiologie
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