心力衰竭患者左束支区起搏与再同步。

IF 0.3 Q4 Medicine

Annales de cardiologie et d'angeiologie Pub Date : 2025-09-29 DOI:10.1016/j.ancard.2025.101955

Jérôme Taieb , Walid Amara

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引用次数: 0

摘要

左束分支阻滞起搏（LBBAP）是一种捕获传导通路以实现生理心室激活的新技术。技术上比希氏起搏更可靠，能纠正左束近端支阻滞。在此背景下，许多注册研究和首批小型随机研究评估了左束分支阻滞起搏与传统再同步化治疗相比的益处，结果表明LBBAP更有利。更多可靠的随机研究正在进行中。一份共识文件已将该策略作为可能的一线选择，并建议在常规再同步治疗失败的情况下使用。制造商正在开发将LBBAP起搏集成到除颤导联中的专用设备。

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Stimulation de l’aire de la branche gauche et resynchronisation dans l’insuffisance cardiaque

Left bundle branch block pacing (LBBAP) is a recent technique for capturing conduction pathways to allow physiological ventricular activation.

It is technically more reliable than Hisian pacing and can correct proximal left bundle branch block. In this context, numerous registries and the first small randomized studies have evaluated the benefit of left bundle branch block pacing compared to conventional resynchronization therapy, with encouraging results in favor of LBBAP. More robust randomized studies are underway. A consensus document has included this strategy as a possible first-line option and is recommended in cases of failure of conventional resynchronization therapy. Manufacturers are developing dedicated equipment with LBBAP pacing integrated into the defibrillation lead.

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来源期刊

Annales de cardiologie et d'angeiologie 医学-外周血管病

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Organe scientifique de référence fondé en 1951, les Annales de cardiologie et d''angéiologie abordent tous les domaines qui intéressent quotidiennement les cardiologues et les angéiologues praticiens : neurologie et radiologie vasculaires, hémostase, diabétologie, médecine interne, épidémiologie et prévention. Les Annales de cardiologie et d''angéiologie sont indexées aux grandes bases de données et publient rapidement, et en conformité avec les normes internationales de publication scientifique, des articles en français sur la pathologie cardiaque.