术中非选择性左束支起搏形态学改变一例：是铅脱位的原因吗？

IF 2.3 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of Cardiovascular Electrophysiology Pub Date : 2025-02-27 DOI:10.1111/jce.16620

Naoki Matsumoto, Kenji Shimeno, Masanori Matsuo, Yukio Abe, Daiju Fukuda

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引用次数: 0

摘要

简介：利用左束分支起搏（LBBAP）的QRS形态学来评估手术成功率并确认左束分支（LBB）捕获。方法和结果：我们提出了一个病例，其中左束支起搏（LBBP）的QRS形态学在手术过程中发生了变化，尽管整个过程中保持了LBBP的捕获。结论：这个案例强调了操作人员意识到这个陷阱的必要性，并提出了关于确定LBB捕获的潜在问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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A Case of Intraoperative Changes in the Nonselective Left Bundle Branch Pacing Morphology: Is Lead Dislodgment the Cause?

Introduction

The QRS morphology in left bundle branch area pacing (LBBAP) is utilized to assess procedural success and to confirm left bundle branch (LBB) capture.

Methods and Results

We present a case in which the QRS morphology of the left bundle branch pacing (LBBP) changed during the procedure despite the maintenance of LBB capture throughout.

Conclusion

This case highlights the necessity for operators to be aware of this pitfall and raises potential questions regarding the determination of LBB capture.

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来源期刊

Journal of Cardiovascular Electrophysiology 医学-心血管系统

CiteScore

5.20

自引率

14.80%

发文量

433

审稿时长

3-6 weeks

期刊介绍： Journal of Cardiovascular Electrophysiology (JCE) keeps its readership well informed of the latest developments in the study and management of arrhythmic disorders. Edited by Bradley P. Knight, M.D., and a distinguished international editorial board, JCE is the leading journal devoted to the study of the electrophysiology of the heart.