摘要
目的尝试探讨His束起搏的分型标准及原理。方法总结2015年8月至2016年3月行永久性His束起搏病例的腔内标测电图、起搏程控及临床随访资料。结果 14例患者中,11例术中即刻成功,成功率为79%(11/14)。11例患者术中测定过程中10例获得纯His束起搏加内膜夺获图形(其中4例也获得纯His束起搏图形),1例表现为His束旁起搏图形。术后随访1例为His束旁起搏,1例变为His束旁高位间隔起搏,其余9例为纯His束起搏加内膜夺获。术后随访获得理想的永久性His束起搏占82%(9/11)。结论永久性His束起搏安全、可行,可分为四型。
Objective To evaluate the classification standard and principle of his bundle pacing.Methods The intracardiac electrograms and the follow-up data of pacemaker program were analyzed in patients undergoing Hisbundle pacing（HBP）between August 2015 and March 2016.Results HBP was achieved in 11 cases with the acute success rate of 79%（11/14）.Of the 11 cases during implanting procedure,One patient with parahisian pacing figure kept the same pacing characteristics during follow-up.Ten cases showed the characteristics of pure His-bundle pacing with local myocardial fibers captured（including pure HBP figures in 4 cases）and 9 cases kept the same characteristics,the remaining changed to pseudo parahasian pacing figure（high ventricular septum pacing）post pacemaker implantation.Permanent HBP was finally identified in 9 patients（9/11,82%）during follow-up.Conclusion Permanent HBP is safe and feasible,and involved with four types.
作者
孙育民
连敏
曹宾
张雁
廖德宁
张家友
崔海明
张代富
王肖龙
王骏
SUN Yu-min;LIAN Min;CAO Bin;ZHANG Yan;LIAO De-ning;ZHANG Jia-you;CUI Hai-ming;ZHANG Dai-fu;WANG Xiao-long;WANG Jun(Department of Cardiology,Shanghai Jing＇an District Central Hospital, Fudan University, Shanghai 200040, China;Department of Cardiology, Shanghai Changzheng Hospital, Naval Medical University, Shanghai 200003, China;Department of Cardiology, Pudong New Area People＇s Hospital,Shanghai 201219, China;Department of Cardiol- ogy, Shuguang Hospital,Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China)
出处
《中国心脏起搏与心电生理杂志》
2018年第2期118-124,共7页
Chinese Journal of Cardiac Pacing and Electrophysiology
基金
上海市卫计委课题面上项目(201640242)
上海市医学重点专科建设项目(ZK2015B13)
上海市静安区卫生计生系统十百千卫生人才培养项目(JWRC2014D02)
