Cardiac resynchronization therapy in patients with atrial fibrillation: is atrial lead implantation necessary?

Israel CW; Barold SS

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Cardiac resynchronization therapy in patients with atrial fibrillation: is atrial lead implantation necessary?

机译：心房颤动患者的心脏再同步治疗：是否需要植入心房铅？

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Many studies have shown that cardiac resynchronization therapy (CRT) reduces symptoms, improves exercise capacity, and decreases mortality in patients with heart failure and left ventricular (LV) dyssynchrony.1"5 Although atrial fibrillation (AF) occurs in approximately 30% of heart failure patients,6 the arrhythmia was an exclusion criterion in most of the major CRT trials perhaps for the reason stated in the CARE-HF trial that such patients "cannot benefit from the atrial component of CRT."5 However, mounting evidence indicates that CRT in AF patients produces a benefit similar to patients in sinus rhythm7"13 with aggressive control of the ventricular rate especially with atri-oventricular (AV) node ablation.7'14 Consequently, CRT is now increasingly applied to patients with persistent or permanent AF.

机译：许多研究表明，心脏再同步治疗（CRT）可以减轻心力衰竭和左心室（LV）不同步的患者的症状，提高运动能力并降低其死亡率。1“ 5尽管心房纤颤（AF）发生在大约30％的心脏衰竭患者[6]，在大多数大型CRT试验中，心律失常是一项排除标准，也许是因为CARE-HF试验中指出，这类患者“不能从CRT的心房成分中受益”。5然而，越来越多的证据表明，CRT在房颤患者中产生的益处类似于窦性心律患者[13]，可积极控制心室率，尤其是房室结消融。7'14因此，CRT现在越来越多地应用于持续性或永久性房颤患者。

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《PACE: Pacing and clinical electrophysiology》 |2008年第3期|共3页
作者
Israel CW; Barold SS;
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正文语种 eng
中图分类诊断学;
关键词
Atrial Fibrillation; Cardiac Pacing; Artificial; Electrodes; Implanted; Heart Atria; 心房颤动; 心脏起搏; 人工; 电极; 植入; 起搏器; 人工; 非必要的操作;

机译：Atrial Fibrillation;Cardiac Pacing;Artificial;Electrodes;Implanted;Heart Atria;心房颤动;心脏起搏;人工;电极;植入;起搏器;人工;非必要的操作;

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1. Cardiac resynchronization therapy in patients with atrial fibrillation: is atrial lead implantation necessary? [J] . Israel CW, Barold SS PACE: Pacing and clinical electrophysiology . 2008,第3期

机译：心房颤动患者的心脏再同步治疗：是否需要植入心房铅？
2. GW29-e1464 Inappropriate Shock therapy of Implantable Cardioverter Defibrillator and Cardiac Resynchronization Therapy Defibrillator in patients with Atrial Fibrillation, and the Impact of Atrial Ventricular Node Ablation on the Outcome [J] . Weijian Huang, Songjie Wang, Shengjie Wu, Journal of the American College of Cardiology . 2018,第16期

机译：GW29-E1464植入心脏病患者的不恰当的冲击疗法和心房颤动患者的心脏再同步治疗除颤器，以及心房节点消融对结果的影响
3. Comparison of benefits and mortality in cardiac resynchronization therapy in patients with atrial fibrillation versus patients in sinus rhythm (Results of the Spanish Atrial Fibrillation and Resynchronization (SPARE) Study). [J] . Tolosana JM, Hernandez-Madrid A, Brugada J, The American Journal of Cardiology . 2008,第4期

机译：房颤患者和窦律性心律患者心脏再同步治疗的获益和死亡率的比较（西班牙心房颤动和再同步（SPARE）研究的结果）。
4. EFFECT OF CARDIAC RESYNCHRONIZATION THERAPY ONTHE INCIDENCE OF ATRIAL FIBRILLATION IN PATIENTSWITH POOR SYSTOLIC FUNCTION [C] . JEFFREY W FUNG, YVONNE ZHANG, ANNA CHAN, International Congress on Electrocardiology . 2005

机译：心脏重新同步治疗对收缩功能差患者心房颤动发病率的影响
5. Early Identification and Intervention in Patients with Atrial Fibrillation Using an Implantable Cardiac Monitor to Significantly Improve Guideline-Based Anticoagulation Therapy in an Outpatient Cardiology Clinic [D] . Alvarez, Lisa 2019

机译：使用可植入式心脏监护仪对房颤患者的早期识别和干预，可显着改善门诊心脏病学诊所基于指南的抗凝治疗
6. Atrial electrogram quality in single-pass defibrillator leads with floating atrial bipole in patients with permanent atrial fibrillation and cardiac resynchronization therapy [O] . Christian Sticherling, Dirk Müller, Beat A. Schaer, 2018

机译：永久性心房纤颤和心脏再同步治疗的单程除颤器导线与浮动心房双极患者的心电图质量
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Cardiac resynchronization therapy in patients with atrial fibrillation: is atrial lead implantation necessary?

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