A case of applying left bundle branch pacing combined with atrioventricular node ablation to treat atrial fibrillation-induced heart failure
Lahati HA
Li-Yun HE
Lei LI
Jiang-Li HAN
Shu-Wang LIU
Yuan ZHANG
Wei XU
Wei GAO
Department of Cardiology and Institute of Vascular Medicine,Peking University Third Hospital,NHC Key Laboratory of Cardiovascular Molecular Biology and Regulatory Peptides,Key Laboratory of Molecular Cardiovascular Science,Ministry of Education,Beijing Key Laboratory of Cardiovascular Receptors Research,Beijing,China
摘要：The core treatment of rapid arrhythmia-induced heart failure (HF) is to control the ventricular rate to an optimized lower level,which is usually achieved with various anti-arrhythmic drugs.However,arrhythmias may not respond well to pharmaceutical treatment for various reasons.Iatrogenic atrioventricular (AV) node ablation needs to be performed under these extreme condi-tions to lower the patient's heart rate.Moreover,the simultaneous pacing mode after AV node ablation is of great importance to the prognosis of HF.Left bundle branch pacing (LBBP) is a novel method that has been recently reported to achieve more effective ventricular resynchronization by delivering physiological pacing.Here,we report a successful case of a 62-year-old man who had recurrent atrial flutter and fibrillation and did not respond well to pharmacotherapy or radiofrequency ablation.Iatrogenic third-degree AV block and LBBP implantation were performed for patient after full consideration.At the one-month follow-up after the procedure,the patient's clinical outcome and cardiac function by echocardiography improved significantly.
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论文发表日期：2021-06-28
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：6( 492-497 )