选择部位起搏新进展概念.pptx

选择部位起搏新进展为何起搏? 何处起搏? 起搏的首要目的，是解决心动过缓。心房导线则是为恢复房室同步顺序。起搏导线设计是为了将电信号，方便可靠地传送到右心室和右心房。右室心尖部和右房心耳部由于方便、稳定被许多人应用。为什么要改变？现在是时候放弃右室心尖部起搏，转向间隔部起搏了！7 —— Harry Mond1. Manolis AS. The deleterious consequences of right ventricular apical pacing: time to seek alternate site pacing. Pacing Clin Electrophysiol 2006;29:298–315.2. Nahlawi M, Waligora M, Spies SM, Bonow RO, Kadish AH, Goldberger JJ. Left ventricular function during and after right ventricular pacing. J Am Coll Cardiol 2004;44:1883–8.3. O’Keefe JH Jr, Abuissa H, Jones PG, Thompson RC, Bateman TM, McGhie et al. Effect of chronic right ventricular