Recent approaches to His-Purkinje system pacing
Recent approaches to His-Purkinje system pacing作者机构：Department of CardiologyBeijing Anzhen HospitalCapital Medical UniversityBeijing 100029China Department of CardiologyBeijing Friendship HospitalCapital Medical UniversityBeijing 100050China
出 版 物：《Chinese Medical Journal》 (中华医学杂志（英文版）)
年 卷 期：2019年第132卷第2期
页 面：190-196页
核心收录：
基 金：a grant from the National Natural Science Foundation of Ghina (No.81570220)
主 题：His-Purkinje pacing His bundle pacing Cardiac resynchronization therapy Left bundle branch pacing
摘 要：Objective:Physiologic cardiac pacing is a novel technique which has been largely popularized in recent *** bundle pacing (HBP) has been long considered the most physiologic pacing method;however, with the widespread implementation of this method, its disadvantages have become *** this context, left bundle branch pacing (LBBP)-directly engaged in the His-Purkinje system-has been foreseen as the best pacing method to mimic physiologic activation *** review aimed to summarize recent approaches to physiologic cardiac *** sources:This review included fully peer reviewed publications up to July 2018, found in the PubMed database using the keywords His bundle branch pacing, right ventricular pacing, and physiologic pacing. Study selection:All selected articles were in English, with no restriction on study ***:The HBP has been studied worldwide, and is currently considered the most physiologic pacing ***, it has disadvantages, such as high pacing threshold, unsatisfactory sensing and long procedure times, among *** LBBP is theoretically superior to HBP, the clinical relevance of this difference remains under debate, as few large randomized clinical trials with LBBP have been ***:Although HBP indeed appears to be the most physiologic pacing method, it has certain shortcomings, such as high pacing threshold, difficult implantation due to specific anatomic features, and *** studies are required to clarify the clinical significance of LBBP.
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