心脏起搏治疗和预防心衰一crt的新适应证_黄德嘉-课件.pptVIP

BIOPACE实验的意义和启示 在植入普通起搏器人群中，通过双室起搏，纠正右室起搏导致的心室不同步及心脏重构可能改善长期依赖右室起搏病人的预后 在已有心衰或LVEF降低，有常规起搏适应症，或更换起搏器的病人，双室起搏可作为首选（Ⅱa） Upgrade from RV to BiVPacingRD-CHF Study: Design CazeauS, LeclercqC, LelloucheD, FossatiF, AnselmeF, SiotPH, MolloL, DaubertC Cardiostim2004 SCREENING CHF, PM at ERI LV dys-synchrony n = 56 SUCCESSFUL IMPLANT N = 44 NYHA III (37)/IV (7) LVEF 25 ±9% IV Delay 57 ±24ms LVPE Delay 202 ±38ms 23 DDDR (SR) 21 VVIR (AF) M0 RANDOMIZATION RV BiV M3 EVALUATION BiV RV M6 EVALUATION Upgrade at Battery Depletion, Randomized Crossover Trial Upgrade from RV to BiVPacingRD-CHF Study: Result