conduction system pacing;
His bundle pacing;
pacing-induced cardiomyopathy;
cardiac resynchronization therapy;
RECOMMENDATIONS;
ASSOCIATION;
SOCIETY;
D O I:
10.3390/jcm11195723
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Pacing-induced cardiomyopathy (PICM) is among the most common right ventricular pacing complications. Upgrading to cardiac resynchronization therapy (CRT) is the recommended treatment option. Conduction system pacing with His bundle pacing (HBP) has the potential to restore synchronous ventricular activation and can be an alternative to biventricular pacing (BVP). Patients with PICM scheduled for a system upgrade to CRT were included in the prospective cohort study. Either HBP or BVP was used for CRT. Electrocardiographic, clinical, and echocardiographic measurements were recorded at baseline and six-month follow-up. HBP was successful in 44 of 53 patients (83%). Thirty-nine patients with HBP and 22 with BVP completed a 6-month follow-up. HBP led to a higher reduction in QRS duration than BVP, 118.3 +/- 14.20 ms vs. 150.5 +/- 18.64 ms, p < 0.0001. The improvement in New York Heart Association (NYHA) class by one or two was more common in patients with HBP than those with BiV (p = 0.04). Left ventricular ejection fraction (LVEF) improved in BVP patients from 32.9 +/- 7.93% to 43.9 +/- 8.07%, p < 0.0001, and in HBP patients from 34.9 +/- 6.45% to 48.6 +/- 7.73%, p < 0.0001. The improvement in LVEF was more considerable in HBP patients than in BVP patients, p = 0.019. The improvement in clinical outcomes and left ventricle reverse remodeling was more significant with HBP than BVP. HBP can be a valid alternative to BVP for upgrade procedures in PICM patients.
机构:
Univ Chicago Med, Ctr Arrhythmia Care, Chicago, IL USAUniv Chicago Med, Ctr Arrhythmia Care, Chicago, IL USA
Upadhyay, Gaurav A.
Vijayaraman, Pugazhendhi
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机构:
Geisinger Commonwealth Sch Med, Geisinger Heart Inst, MC 36-10,1000 E Mt Blvd, Wilkes Barre, PA 18711 USAUniv Chicago Med, Ctr Arrhythmia Care, Chicago, IL USA
机构:
Zhejiang Univ, Coll Med, Sir Run Run Shaw Hosp, Dept Cardiol, Hangzhou, Peoples R China
Key Lab Cardiovasc Intervent & Regenerat Med Zhej, Hangzhou, Peoples R ChinaZhejiang Univ, Coll Med, Sir Run Run Shaw Hosp, Dept Cardiol, Hangzhou, Peoples R China
Ye, Yang
Wu, Shengjie
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机构:
Wenzhou Med Univ, Affiliated Hosp 1, Dept Cardiol, Wenzhou, Peoples R China
Key Lab Cardiovasc Dis Wenzhou, Wenzhou, Peoples R ChinaZhejiang Univ, Coll Med, Sir Run Run Shaw Hosp, Dept Cardiol, Hangzhou, Peoples R China
Wu, Shengjie
Su, Lan
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h-index: 0
机构:
Wenzhou Med Univ, Affiliated Hosp 1, Dept Cardiol, Wenzhou, Peoples R China
Key Lab Cardiovasc Dis Wenzhou, Wenzhou, Peoples R ChinaZhejiang Univ, Coll Med, Sir Run Run Shaw Hosp, Dept Cardiol, Hangzhou, Peoples R China
Su, Lan
Sheng, Xia
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机构:
Zhejiang Univ, Coll Med, Sir Run Run Shaw Hosp, Dept Cardiol, Hangzhou, Peoples R China
Key Lab Cardiovasc Intervent & Regenerat Med Zhej, Hangzhou, Peoples R ChinaZhejiang Univ, Coll Med, Sir Run Run Shaw Hosp, Dept Cardiol, Hangzhou, Peoples R China
Sheng, Xia
Zhang, Jiefang
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机构:
Zhejiang Univ, Coll Med, Sir Run Run Shaw Hosp, Dept Cardiol, Hangzhou, Peoples R China
Key Lab Cardiovasc Intervent & Regenerat Med Zhej, Hangzhou, Peoples R ChinaZhejiang Univ, Coll Med, Sir Run Run Shaw Hosp, Dept Cardiol, Hangzhou, Peoples R China
Zhang, Jiefang
Wang, Bei
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机构:
Zhejiang Univ, Sir Run Run Shaw Hosp, Coll Med, Dept Cardiac Echocardiol, Hangzhou, Peoples R ChinaZhejiang Univ, Coll Med, Sir Run Run Shaw Hosp, Dept Cardiol, Hangzhou, Peoples R China
Wang, Bei
Sharma, Parikshit S.
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h-index: 0
机构:
Rush Univ, Med Ctr, Div Cardiol, Chicago, IL 60612 USAZhejiang Univ, Coll Med, Sir Run Run Shaw Hosp, Dept Cardiol, Hangzhou, Peoples R China
Sharma, Parikshit S.
Ellenbogen, Kenneth A.
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机构:
Virginia Commonwealth Univ, Med Ctr, Richmond, VA USAZhejiang Univ, Coll Med, Sir Run Run Shaw Hosp, Dept Cardiol, Hangzhou, Peoples R China
Ellenbogen, Kenneth A.
Su, Yangang
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机构:
Fudan Univ, Zhongshan Hosp, Shanghai Inst Cardiovasc Dis, Dept Cardiol, Shanghai, Peoples R ChinaZhejiang Univ, Coll Med, Sir Run Run Shaw Hosp, Dept Cardiol, Hangzhou, Peoples R China
Su, Yangang
Chen, Xueying
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h-index: 0
机构:
Fudan Univ, Zhongshan Hosp, Shanghai Inst Cardiovasc Dis, Dept Cardiol, Shanghai, Peoples R ChinaZhejiang Univ, Coll Med, Sir Run Run Shaw Hosp, Dept Cardiol, Hangzhou, Peoples R China
Chen, Xueying
Fu, Guosheng
论文数: 0引用数: 0
h-index: 0
机构:
Zhejiang Univ, Coll Med, Sir Run Run Shaw Hosp, Dept Cardiol, Hangzhou, Peoples R China
Key Lab Cardiovasc Intervent & Regenerat Med Zhej, Hangzhou, Peoples R ChinaZhejiang Univ, Coll Med, Sir Run Run Shaw Hosp, Dept Cardiol, Hangzhou, Peoples R China
Fu, Guosheng
Huang, Weijian
论文数: 0引用数: 0
h-index: 0
机构:
Wenzhou Med Univ, Affiliated Hosp 1, Dept Cardiol, Wenzhou, Peoples R China
Key Lab Cardiovasc Dis Wenzhou, Wenzhou, Peoples R ChinaZhejiang Univ, Coll Med, Sir Run Run Shaw Hosp, Dept Cardiol, Hangzhou, Peoples R China