Should His Bundle Pacing Be Preferred over Cardiac Resynchronization Therapy Following Atrioventricular Junction Ablation?

被引：5

作者：

Loring, Zak ^{[1
,2
]}

Sun, Albert Y. ^{[1
,3
]}

机构：

[1] Duke Univ, Med Ctr, Sect Electrophysiol, Div Cardiol, 2301 Erwin Rd, Durham, NC 27710 USA

[2] Duke Clin Res Inst, 200 Morris St, Durham, NC 27701 USA

[3] Durham VA Med Ctr, Sect Electrophysiol, Div Cardiol, 508 Fulton St, Durham, NC 27705 USA

来源：

CARDIOLOGY CLINICS | 2019年 / 37卷 / 02期

基金：

美国国家卫生研究院;

关键词：

His bundle pacing; Biventricular pacemaker; Cardiac resynchronization therapy; Atrial fibrillation; Catheter ablation; Heart failure; ATRIAL-FIBRILLATION; HEART-FAILURE; VENTRICULAR-FUNCTION; CLINICAL-OUTCOMES; CATHETER ABLATION; NODE ABLATION; PERMANENT; BLOCK; LEAD; DESYNCHRONIZATION;

D O I：

10.1016/j.ccl.2019.01.006

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Atrial fibrillation (AF) and heart failure (HF) are associated with high morbidity and mortality, which is particularly detrimental when patients develop rapid ventricular rates (RVR). Atrioventricular junction (AVJ) ablation with pacemaker implantation has been used as a method of achieving rate control in patients with incessant AF with RVR. Right ventricular only pacing is known to be harmful in the setting of HF. His bundle pacing (HBP) and biventricular (BiV) pacing both offer durable pacing solutions that offer more physiologic activation. This review describes the benefits and drawbacks of HBP and BiV pacing in HF patients after AVJ ablation.

引用

页码：231 / +

页数：12

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