肥厚性心肌病左束支起搏——一种新方法。

IF 1.3 American journal of cardiovascular disease Pub Date : 2021-12-15 eCollection Date: 2021-01-01
Soumya Patra, Ashesh Halder, Rabin Chakraborty, Arindam Pande, Dilip Kumar, Somnath Dey, Sanjeev S Mukherjee, Rana Rathor Roy
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引用次数: 0

摘要

由病态窦性综合征引起的症状性心动过缓在肥厚性心肌病(HCM)中并不常见。在这种情况下,双室起搏与右室心尖导联放置是常规策略。目前,包括左束支起搏在内的生理起搏已成为心脏起搏器植入的新技术。由于室间隔肥厚,在HCM中使用该技术是困难的。到目前为止,文献中还没有报道成人HCM因病窦综合征而行LBB起搏的病例。在这里,我们提出了一种治疗非阻塞性HCM患者不可逆的症状性窦结功能障碍的新方法,即实施左束起搏策略。随访3个月后,起搏参数保持稳定。
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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Left bundle branch pacing in hypertrophic cardiomyopathy-a novel approach.

Symptomatic bradycardia attributed by sick sinus syndrome in hypertrophic cardiomyopathy (HCM) is not commonly seen. Dual chamber pacing with right ventricular apical lead placement is conventional strategy in such scenario. Now physiological pacing which includes left bundle branch (LBB) pacing emerging as new technology for pacemaker implantation. Use of this technique is difficult in HCM due to septal hypertrophy. There is no such case reported so far in the literature where LBB pacing was performed in adult HCM for sick sinus syndrome. Here we present a novel approach of treating irreversible, symptomatic sinus node dysfunction in non-obstructive HCM with implementation of left bundle pacing strategy. Pacing parameters remain stable after 3 months of follow-up.

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来源期刊
American journal of cardiovascular disease
American journal of cardiovascular disease CARDIAC & CARDIOVASCULAR SYSTEMS-
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21
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