心脏传导系统起搏的临床应用现状与展望
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摘要
传统右心室部起搏会恶化心功能、增加死亡率。希氏束起搏利用了心脏特殊传导系统,可以使双心室同步激动,是最生理性的起搏方式。多个临床研究已证实希氏束起搏是可行的、安全的和有效的。左束支区域起搏是在生理性起搏的进一步探索中提出的全新的起搏方式,克服了希氏束起搏成功率低,感知和阈值不佳的问题,展现出良好应用前景。文章就希氏束起搏和左束支区域起搏的临床应用研究进展做一综述。
Conventional right ventricular apical pacing is deleterious to heart function and as a result,mortality increases. His bundle pacing utilizes the special conduction system of the heart and activates the double ventricular chamber simultaneously that models physiological pacing model efficiently. Different clinical studies have demonstrated that the feasibility,safety and effectiveness of applying His bundle pacing. Left bundle branch area pacing is a novel method proposed in the further exploration of physiological pacing,with the merits of overcoming the shortcomings of His bundle pacing,such as low success rate,low sensitivity and high threshold. This article provides a comprehensive review over the most up-to-date research progress of clinical application using His bundle pacing and Left bundle branch area pacing.
Conventional right ventricular apical pacing is deleterious to heart function and as a result,mortality increases. His bundle pacing utilizes the special conduction system of the heart and activates the double ventricular chamber simultaneously that models physiological pacing model efficiently. Different clinical studies have demonstrated that the feasibility,safety and effectiveness of applying His bundle pacing. Left bundle branch area pacing is a novel method proposed in the further exploration of physiological pacing,with the merits of overcoming the shortcomings of His bundle pacing,such as low success rate,low sensitivity and high threshold. This article provides a comprehensive review over the most up-to-date research progress of clinical application using His bundle pacing and Left bundle branch area pacing.
引文
[1] Kawashima T,Sasaki H. A macroscopic anatomical investigation of atrioventricular bundle locational variation relative to the membranous part of the ventricular septum in elderly human hearts[J]. Surg Radiol Anat,2005,27(3):206-13
[2] Vijayaraman P,Chung MK,Dandamudi G,et al. His bundle pacing[J]. J Am Coll Cardiol,2018,72(8):927-947
[3] Lustgarten DL. Permanent His bundle pacing anatomy:I can see clearly now[J]. Heart Rhythm,2018,16(3):451-452
[4] Dandamudi G,Vijayaraman P. History of His bundle pacing[J]. J Electrocardiol,2017,50(1):156-160
[5] Sharma PS,Ellenbogen KA,Trohman RG. Permanent His bundle pacing:the past,present,and future[J]. J Cardiovasc Electrophysiol,2017,28(4):458-465
[6] Sharma PS,Trohman R. An electro-anatomic atlas of His bundle pacing:combining fluoroscopic imaging and recorded electrograms[J]. Card Electrophysiol Clin,2018,10(3):483-490
[7] Kosowsky BD,Scherlag BJ,Damato AN. Re-evaluation of the atrial contribution to ventricular function:study using Hisbundlepacing[J].AmJCardiol,1968,21(4):518-524
[8] Deshmukh P,Casavant DA,Romanyshyn M,et al. Permanent,direct His-bundle pacing:a novel approach to cardiac pacing in patients with normal His-Purkinje activation[J]. Circulation,2000,101(8):869-877
[9] Zanon F,Baracca E,Aggio S,et al. A feasible approach for direct his-bundle pacing using a new steerable catheter to facilitate precise lead placement[J]. J Cardiovasc Electrophysiol,2006,17(1):29-33
[10]Vijayaraman P,Dandamudi G,Zanon F,et al. Permanent His bundle pacing:Recommendations from a Multicenter His Bundle Pacing Collaborative Working Group for standardization of definitions,implant measurements,and follow-up[J]. Heart Rhythm,2018,15(3):460-468
[11] Zungsontiporn N,Wu R. Can His bundle pacing prevent right ventricular pacing-induced cardiomyopathy,heart failure,or death[J]. J Thorac Dis,2018,10(Suppl 26):S3192-S3194
[12]Sharma PS,Dandamudi G,Naperkowski A,et al. Permanent His-bundle pacing is feasible,safe,and superior to right ventricular pacing in routine clinical practice[J].Heart Rhythm,2015,12(2):305-312
[13]Abdelrahman M,Subzposh FA,Beer D,et al. Clinical outcomes of His bundle pacing compared to right ventricular pacing[J]. J Am Coll Cardiol,2018,71(20):2319-2330
[14] Ye Y,Zhang Z,Sheng X,et al. Upgrade to his bundle pacing in pacing-dependent patients referred for pulse generator change:Feasibility and intermediate term follow up[J]. Int J Cardiol,2018,260(1):88-92
[15] Vijayaraman P,Naperkowski A,Subzposh FA,et al. Permanent His-bundle pacing:long-term lead performance and clinical outcomes[J]. Heart Rhythm,2018,15(5):696-702
[16] Zhang J,Guo J,Hou X,et al. Comparison of the effects of selective and non-selective His bundle pacing on cardiac electrical and mechanical synchrony[J]. Europace,2018,20(6):1010-1017
[17]Slotwiner DJ,Raitt MH,Del-Carpio MF,et al. Impact of physiologic pacing versus right ventricular pacing among patients with left ventricular ejection fraction greater than35%:a systematic review for the 2018 ACC/AHA/HRS guideline on the evaluation and management of patients with bradycardia and cardiac conduction delay[J]. J Am Coll Cardiol,2018,doi:10.1016/j.jacc.2018.10.045
[18]Lustgarten DL,Crespo EM,Arkhipova-Jenkins I,et al. His bundle pacing versus biventricular pacing in cardiac resynchronization therapy patients:a crossover design comparison[J]. Heart Rhythm,2015,12(7):1548-1557
[19] Sharma PS,Dandamudi G,Herweg B,et al. Permanent His bundle pacing as an alternative to biventricular pacing for cardiac resynchronization therapy:a multicenter experience[J]. Heart Rhythm,2018,15(3):413-420
[20] Huang W,Su L,Wu S,et al. Benefits of permanent His bundle pacing combined with atrioventricular node ablation in atrial fibrillation patients with heart failure with both preserved and reduced left ventricular ejection fraction[J]. J Am Heart Assoc,2017,6(4):e005309
[21] Sharma PS,Naperkowski A,Bauch TD,et al. Permanent His bundle pacing for cardiac resynchronization therapy in patients with heart failure and right bundle branch block[J]. Circ Arrhythm Electrophysiol,2018,11(9):e006613
[22] Kusumoto FM,Schoenfeld MH,Barrett C,et al. 2018 ACC/AHA/HRS guideline on the evaluation and management of patients with bradycardia and cardiac conduction delay:a report of the American College of Cardiology/American Heart Association task force on clinical practice guidelines and the heart rhythm society[J]. J Am Coll Cardiol,2018,doi:10.1016/j.jacc.2018.10.044
[23]中华医学会心血管病学分会心力衰竭学组,中国医师协会心力衰竭专业委员会,中华心血管病杂志编辑委员会.中国心力衰竭诊断和治疗指南2018[J].中华心血管病杂志,2018,46(10):760-789
[24] Mafi-Rad M,Luermans JG,Blaauw Y,et al. Feasibility and acute hemodynamic effect of left ventricular septal pacing by transvenous approach through the interventricular septum[J]. Circ Arrhythm Electrophysiol,2016,9(3):e003344
[25] Huang W,Su L,Wu S,et al. A novel pacing strategy with low and stable output:pacing the left bundle branch immediately beyond the conduction block[J]. Can J Cardiol,2017,33(12):1736.e1-1736.e3
[26] Chen K,Li Y,Dai Y,et al. Comparison of electrocardiogram characteristics and pacing parameters between left bundle branch pacing and right ventricular pacing in patients receiving pacemaker therapy[J]. Europace,2019,21(4):673-680
[27]吴圣杰,苏蓝,黄伟剑.希氏-浦肯野系统起搏的现状与展望[J].中华心律失常学杂志,2018,22(2):123-129
[2] Vijayaraman P,Chung MK,Dandamudi G,et al. His bundle pacing[J]. J Am Coll Cardiol,2018,72(8):927-947
[3] Lustgarten DL. Permanent His bundle pacing anatomy:I can see clearly now[J]. Heart Rhythm,2018,16(3):451-452
[4] Dandamudi G,Vijayaraman P. History of His bundle pacing[J]. J Electrocardiol,2017,50(1):156-160
[5] Sharma PS,Ellenbogen KA,Trohman RG. Permanent His bundle pacing:the past,present,and future[J]. J Cardiovasc Electrophysiol,2017,28(4):458-465
[6] Sharma PS,Trohman R. An electro-anatomic atlas of His bundle pacing:combining fluoroscopic imaging and recorded electrograms[J]. Card Electrophysiol Clin,2018,10(3):483-490
[7] Kosowsky BD,Scherlag BJ,Damato AN. Re-evaluation of the atrial contribution to ventricular function:study using Hisbundlepacing[J].AmJCardiol,1968,21(4):518-524
[8] Deshmukh P,Casavant DA,Romanyshyn M,et al. Permanent,direct His-bundle pacing:a novel approach to cardiac pacing in patients with normal His-Purkinje activation[J]. Circulation,2000,101(8):869-877
[9] Zanon F,Baracca E,Aggio S,et al. A feasible approach for direct his-bundle pacing using a new steerable catheter to facilitate precise lead placement[J]. J Cardiovasc Electrophysiol,2006,17(1):29-33
[10]Vijayaraman P,Dandamudi G,Zanon F,et al. Permanent His bundle pacing:Recommendations from a Multicenter His Bundle Pacing Collaborative Working Group for standardization of definitions,implant measurements,and follow-up[J]. Heart Rhythm,2018,15(3):460-468
[11] Zungsontiporn N,Wu R. Can His bundle pacing prevent right ventricular pacing-induced cardiomyopathy,heart failure,or death[J]. J Thorac Dis,2018,10(Suppl 26):S3192-S3194
[12]Sharma PS,Dandamudi G,Naperkowski A,et al. Permanent His-bundle pacing is feasible,safe,and superior to right ventricular pacing in routine clinical practice[J].Heart Rhythm,2015,12(2):305-312
[13]Abdelrahman M,Subzposh FA,Beer D,et al. Clinical outcomes of His bundle pacing compared to right ventricular pacing[J]. J Am Coll Cardiol,2018,71(20):2319-2330
[14] Ye Y,Zhang Z,Sheng X,et al. Upgrade to his bundle pacing in pacing-dependent patients referred for pulse generator change:Feasibility and intermediate term follow up[J]. Int J Cardiol,2018,260(1):88-92
[15] Vijayaraman P,Naperkowski A,Subzposh FA,et al. Permanent His-bundle pacing:long-term lead performance and clinical outcomes[J]. Heart Rhythm,2018,15(5):696-702
[16] Zhang J,Guo J,Hou X,et al. Comparison of the effects of selective and non-selective His bundle pacing on cardiac electrical and mechanical synchrony[J]. Europace,2018,20(6):1010-1017
[17]Slotwiner DJ,Raitt MH,Del-Carpio MF,et al. Impact of physiologic pacing versus right ventricular pacing among patients with left ventricular ejection fraction greater than35%:a systematic review for the 2018 ACC/AHA/HRS guideline on the evaluation and management of patients with bradycardia and cardiac conduction delay[J]. J Am Coll Cardiol,2018,doi:10.1016/j.jacc.2018.10.045
[18]Lustgarten DL,Crespo EM,Arkhipova-Jenkins I,et al. His bundle pacing versus biventricular pacing in cardiac resynchronization therapy patients:a crossover design comparison[J]. Heart Rhythm,2015,12(7):1548-1557
[19] Sharma PS,Dandamudi G,Herweg B,et al. Permanent His bundle pacing as an alternative to biventricular pacing for cardiac resynchronization therapy:a multicenter experience[J]. Heart Rhythm,2018,15(3):413-420
[20] Huang W,Su L,Wu S,et al. Benefits of permanent His bundle pacing combined with atrioventricular node ablation in atrial fibrillation patients with heart failure with both preserved and reduced left ventricular ejection fraction[J]. J Am Heart Assoc,2017,6(4):e005309
[21] Sharma PS,Naperkowski A,Bauch TD,et al. Permanent His bundle pacing for cardiac resynchronization therapy in patients with heart failure and right bundle branch block[J]. Circ Arrhythm Electrophysiol,2018,11(9):e006613
[22] Kusumoto FM,Schoenfeld MH,Barrett C,et al. 2018 ACC/AHA/HRS guideline on the evaluation and management of patients with bradycardia and cardiac conduction delay:a report of the American College of Cardiology/American Heart Association task force on clinical practice guidelines and the heart rhythm society[J]. J Am Coll Cardiol,2018,doi:10.1016/j.jacc.2018.10.044
[23]中华医学会心血管病学分会心力衰竭学组,中国医师协会心力衰竭专业委员会,中华心血管病杂志编辑委员会.中国心力衰竭诊断和治疗指南2018[J].中华心血管病杂志,2018,46(10):760-789
[24] Mafi-Rad M,Luermans JG,Blaauw Y,et al. Feasibility and acute hemodynamic effect of left ventricular septal pacing by transvenous approach through the interventricular septum[J]. Circ Arrhythm Electrophysiol,2016,9(3):e003344
[25] Huang W,Su L,Wu S,et al. A novel pacing strategy with low and stable output:pacing the left bundle branch immediately beyond the conduction block[J]. Can J Cardiol,2017,33(12):1736.e1-1736.e3
[26] Chen K,Li Y,Dai Y,et al. Comparison of electrocardiogram characteristics and pacing parameters between left bundle branch pacing and right ventricular pacing in patients receiving pacemaker therapy[J]. Europace,2019,21(4):673-680
[27]吴圣杰,苏蓝,黄伟剑.希氏-浦肯野系统起搏的现状与展望[J].中华心律失常学杂志,2018,22(2):123-129