His Bundle Pacing

被引：226

作者：

Vijayaraman, Pugazhendhi ^{[1
]}

Chung, Mina K. ^{[2
]}

Dandamudi, Gopi ^{[3
]}

Upadhyay, Gaurav A. ^{[4
]}

Krishnan, Kousik ^{[5
]}

Crossley, George ^{[6
]}

Campbell, Kristen Bova ^{[7
]}

Lee, Byron K. ^{[8
]}

Refaat, Marwan M. ^{[9
]}

Saksena, Sanjeev ^{[10
,11
]}

Fisher, John D. ^{[12
]}

Lakkireddy, Dhananjaya ^{[13
,14
]}

机构：

[1] Geisinger Commonwealth Sch Med, Geisinger Heart Inst, Wilkes Barre, PA USA

[2] Cleveland Clin, Div Electrophysiol, Cleveland, OH 44106 USA

[3] Indiana Univ Sch Med, Dept Med, Krannert Inst Cardiol, Indianapolis, IN 46202 USA

[4] Univ Chicago, Div Cardiol, Electrophysiol Sect, Chicago, IL 60637 USA

[5] Rush Univ, Med Ctr, Div Cardiol, Electrophysiol Sect, Chicago, IL 60612 USA

[6] Vanderbilt Heart & Vasc Inst, Nashville, TN USA

[7] Duke Univ, Div Cardiol, Durham, NC USA

[8] Univ Calif San Francisco, Div Electrophysiol, San Francisco, CA 94143 USA

[9] Amer Univ Beirut, Div Cardiol, Electrophysiol Sect, Beirut, Lebanon

[10] Electrophysiol Res Fdn, Warren, NJ USA

[11] Rutgers Robert Wood Johnson Med Sch, New Brunswick, NJ USA

[12] Albert Einstein Coll Med, Div Cardiol, Electrophysiol Sect, New York, NY USA

[13] Kansas City Heart Rhythm Inst, Overland Pk, KS USA

[14] Univ Missouri, Columbia, MO USA

来源：

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY | 2018年 / 72卷 / 08期

关键词：

cardiac resynchronization therapy; heart failure; permanent His bundle pacing; right ventricular pacing; CARDIAC RESYNCHRONIZATION THERAPY; ATRIOVENTRICULAR NODE ABLATION; IMPLANTATION SITE; PERMANENT; CONDUCTION; CATHETER; BLOCK; LEAD; RECOMMENDATIONS; FEASIBILITY;

D O I：

10.1016/j.jacc.2018.06.017

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Traditional right ventricular (RV) pacing for the management of bradyarrhythmias has been pursued successfully for decades, although there remains debate regarding optimal pacing site with respect to both hemodynamic and clinical outcomes. The deleterious effects of long-term RV apical pacing have been well recognized. This has generated interest in approaches providing more physiological stimulation, namely, His bundle pacing (HBP). This paper reviews the anatomy of the His bundle, early clinical observations, and current approaches to permanent HBP. By stimulating the His-Purkinje network, HBP engages electrical activation of both ventricles and may avoid marked dyssynchrony. Recent studies have also demonstrated the potential of HBP in patients with underlying left bundle branch block and cardiomyopathy. HBP holds promise as an attractive mode to achieve physiological pacing. Widespread adaptation of this technique is dependent on enhancements in technology, as well as further validation of efficacy in large randomized clinical trials. (C) 2018 by the American College of Cardiology Foundation.

引用

页码：927 / 947

页数：21

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