(巡讲)FinalAdaptivCRT介绍及临床获益CHNPPT.pptxVIP

CRT的生理性起搏模式 AdaptivCRTTM ;生理性起搏的发展历程;不必要右室心尖部起搏的影响;CRT反应率的现状;1Mullens W, et al. JACC. 2009;53:765-773.;CRT的生理性起搏模式;AdaptivCRT 概念示意图;同步单LV起搏;动态BiV起搏;AdaptivCRT 运算法则;Intrinsic AV conduction present? Any HR?;为什么要 AdaptivCRT?;为什么要 AdaptivCRT?;为什么要单左室起搏？;为什么要单左室起搏？;为什么要 AdaptivCRT?;Kurzidim et al., PACE 2005; 28: 754-761. ;Vollman D, et al. Circulation. 2006;113:953-959.;为什么要 AdaptivCRT?;LV Only;;为什么要 AdaptivCRT?;优化的SAV = 120?30 ms (80 - 230 ms);;为什么是P波后30ms？;LV Only;为什么要 AdaptivCRT?;;能否产生融合? 基于自身传导和起搏AV设置决定;Intrinsic AV conduction present? Any HR?;临床获益;AdaptivCRT Response Analysis3: AdaptivCRT比传统CRT提高12%的反应率。;Adaptive CRT Trial1,2;Adaptive CRT Trial;AdaptiveCRT和超声优化6个月临床综合得分无差异;;;Adaptive LV Pacing Analysis1 Analysis of Outcomes by Percent LV Pacing;Adaptive LV Pacing Analysis;;有正常AV传导的AdaptivCRT 患者与有正常AV传导的对照组患者比较 AdaptivCRT: 主要运行同步LV起搏方式 (73% +/- 25%) 6个月时有更好的临床反应 (81% vs. 69%);Multivariate Predictors of All-Cause Death and HF Hospitalization at 12-m FU*;Long Term Outcomes and AF Incidence in AdaptivCRT Trial;AdaptivCRT AF Analysis;AdaptivCRT Response Analysis1 Analysis of Clinical Response as Compared to Historical Trials;AdaptivCRT Response Analysis;AdaptivCRT Response Analysis;AdaptivCRT比传统CRT提高12%的反应率;AdaptivCRT Impacts on 30 Readminssions;AdaptivCRT降低55%的医疗花费，在两年内为每位患者节约630美元Af相关的医疗花费。;AdaptivCRT患者的一天生活动态优化，随心所跳;AdaptivCRT患者的一天生活;“Day in the Life” Summary ;AdaptivCRT患者的一天生活;2090 Programmer;AdaptivCRT 程控设置;DDIR（房颤）模式下的程控设置;植入后的AdaptivCRT运行情况;动态优化，随心所跳Thank you