Atrioventricular intrinsic conduction and cardiac resynchronization therapy

Atrioventricular intrinsic conduction and cardiac resynchronization therapy
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DOI:
10.3760/cma.j.issn.0366-6999.2011.03.021
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发表时间:
2011-02-05
影响因子:
6.1
通讯作者:
Guo Tao
Guo Tao
中科院分区:
医学2区
文献类型:
--
作者:
Wang Ru-xing;Guo Tao

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心脏复律治疗(CRT)是治疗晚期充血性心力衰竭患者的一项重大突破,然而,许多关键的临床研究问题仍然存在,也许最重要的是为什么明显适合的患者对CRT没有反应的问题。这些问题也与对CRT有反应的患者相关,因为他们的反应可能会进一步增加。尽管CRT治疗无效的原因很多,但本文就CRT治疗中维持房室固有传导的重要性进行综述,这可能是降低CRT治疗无效率的方法之一。中华医学杂志2011;124(3):436-439
Cardiac resynchronization therapy (CRT) is a major breakthrough in therapy for patients with advanced congestive heart failure, however, a number of key clinical research questions remain, perhaps most importantly the issue of why apparently suitable patients do not respond to CRT. These issues are also relevant to patients who do respond to CRT as potentially their response might be further increased. Though patients do not respond to CRT because of many known postulated reasons, we review the importance of maintaining atrioventricular intrinsic conduction during CRT in this paper, which maybe is one of methods to reduce the rates of non-response to CRT. Chin Med J 2011;124(3):436-439