摘要
右束支传导阻滞是常见的心电图表现,在有起搏指征的患者中,对合并右束支传导阻滞图形的患者最适的起搏方式一直在探索。常规右心室起搏和双心室起搏对起搏依赖的右束支传导阻滞患者不能很好地保持心脏电机械同步性,而近年来的经希浦系统的生理性起搏可能是该类患者新的治疗选择。现对右束支传导阻滞的发生机制、病理生理影响和起搏方式探索进行综述,为未来起搏方式的选择提供参考。
The right bundle-branch block(RBBB)is commonly detected in ECG.For patients with an RBBB pattern in ECG who have an indication for pacing,the optimal pacing modality has been exploring.Traditional right ventricular pacing or bi-ventricular pacing could not preserve the cardiac electro-mechanical synchrony for patients with RBBB and dependent on pacemakers.Recently,the physiological pacing conducted by His-bundle or left bundle branch capture has provided a novel solution for these patients.We reviewed the mechanism,pathophysiological impact of RBBB,and the different pacing options in an attempt to provide references for future practice in these subjects.
作者
褚松筠
盛琴慧
周菁
CHU Songyun;SHENG Qinhui;ZHOU Jing(Department of Cardiology,Peking University First Hospital,Beijing 100034,China)
出处
《心血管病学进展》
CAS
2020年第10期1002-1006,共5页
Advances in Cardiovascular Diseases
基金
北京大学第一医院青年临床研究基金(2017CR20)。
关键词
心电图
右束支传导阻滞
起搏
Electrocardiography
Right bundle-branch block
Pacing
