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2010年心脏起搏治疗进展概述 被引量：9

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摘要 过去的2010年心脏起搏治疗领域诸多进展令人振奋。年内公布了众多具有里程碑意义的指南,对心脏再同步化治疗(CRT)临床适应证进行了重新界定;提出了起搏系统感染患者的规范化处理意见和电极拔除指征;首次发布了《临床患者心血管可植入电子器械或终止器械治疗的管理共识》。在普通起搏、CRT和除颤领域均公布了许多有突破性的临床成果:MAD IT-CRT研究显示左室电极位于心尖部者临床预后差、死亡率高,而侧壁、前壁或后壁其三者的临床结局没有显著差别;FREEDOM研究提示术后频繁参数优化并不能提高CRT的临床疗效。这些临床实验的结论对以往的传统治疗观念提出了强大的挑战。此外,还发表了报告或发表了一些新的临床研究成果或观点:术中除颤阈值测试及治疗程序设定的新证据;双腔起搏对病窦综合征患者的疗效优于单导线心房起搏。可应用于核磁共振成像检查的永久起搏器通过FDA审批;起搏器远程监护体系的临床应用经济有效;起搏器的非心律失常领域的诊断得到拓展。值得一提的是,在2010年具有自主知识产权的国产起搏器获得国家注册证,并已应用于临床。
作者 董颖雪 杨延宗
机构地区 大连医科大学第一附属医院心血管病医院
出处 《中国心脏起搏与心电生理杂志》 北大核心 2011年第1期20-24,共5页 Chinese Journal of Cardiac Pacing and Electrophysiology
关键词 心血管病学 心脏起搏 综述 起搏指南
分类号 R318.11 [医药卫生—生物医学工程]
  • 相关文献

参考文献9

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  • 9张澍,华伟,黄德嘉,王景峰,吴立群,杨杰孚,曹克将,黄从新,王方正,陈新,无.植入性心脏起搏器治疗——目前认识和建议（2010年修订版）[J].中华心律失常学杂志,2010,14(4):245-259. 被引量：87

二级参考文献150

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共引文献86

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二级引证文献39

中国心脏起搏与心电生理杂志
2011年 第1期

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