Biventricular pacing for congestive heart failure.

Biventricular pacing for congestive heart failure.
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双心室起搏治疗充血性心力衰竭。

DOI:
10.1097/00002727-200301000-00009
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发表时间:
2003
影响因子:
1.4
通讯作者:
Jane M Lagrotteria
Jane M Lagrotteria
中科院分区:
--
文献类型:
--
作者:
Jane M Lagrotteria

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双心室起搏复律是治疗心力衰竭的一种新的、重要的非药物治疗方法。PR间期延长、宽QRS和左束支分支传导阻滞是与左心室功能障碍相关的典型传导障碍。心室内传导延迟通常导致心室收缩的同步性丧失,从而导致心力衰竭患者的额外问题。双心室起搏(手术植入电极导线意味着心外膜电极导线的开胸术或小开胸术,而不是首选的经静脉入路)为腔内电极导线提供了相当大的改善生活质量、运动耐量以及减少III级或IV级心力衰竭患者住院治疗的前景。
Resynchronization with biventricular pacing is a relatively new and important nonpharmacological therapy for patients with heart failure. A prolonged PR interval, a wide QRS, and left bundle branch block are typical conduction disturbances associated with left ventricular dysfunction. The intraventricular conduction delays often lead to loss of synchronization of ventricular contraction, thus contributing to additional problems for the heart failure patient. Biventricular pacing offers (surgically implanted leads implies a thoracotomy or mini-thoracotomy for an epicardial lead and not the preferred transvenous approach) for an endocardial lead, considerable promise for improving the quality of life, exercise tolerance, as well as for decreasing hospitalization for patients with Class III or Class IV heart failure.
DOI: 10.1161/01.cir.95.12.2660
发表时间: 1997-06-17
期刊: CIRCULATION
影响因子: 37.8
作者:
Aaronson, KD;Schwartz, JS;Mancini, DM
通讯作者: Mancini, DM