李雨薇,刘俊鹏,杨杰孚

• 1:北京医院心内科国家老年医学中心

摘要(Abstract)：

<正>随着人口老龄化加剧,心脏起搏器植入的需求也日趋增多。但目前对最佳心室起搏位点仍存在争议。传统右心室起搏,无论是右心室心尖部还是右心室流出道间隔部,都会导致心室收缩不协调,增加心力衰竭和心房颤动的风险。心脏再同步化治疗(cardiac resynchronization therapy,CRT)较右心室起搏保持了左、右心室电和机械的相对同步性,但与真正意义上的生理性起搏仍相距甚远。随着植入技术及器械的发展,更接近生理性起搏的希氏束-浦肯野纤维系统起搏,即希氏束起搏(his bundle pacing,HBP)和左束支区域起搏(left bandle branch pacing,LBBP)成为目前起搏治疗领域的研究热点,尤其是HBP能产生生理性的心室激动顺序,因而备受关注。

关键词(KeyWords)： 希氏束起搏;生理性起搏;右心室起搏

Abstract:

Keywords:

基金项目(Foundation): 北京医院院级课题“房颤体外电除颤对心脏植入电子装置的影响”(BJ-2015-128)

作者(Author): 李雨薇,刘俊鹏,杨杰孚

参考文献(References)：

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