Effect of left bundle branch area pacing on new-onset atrial arrhythmia after implantation
10.3969/j.issn.1006-5725.2024.13.014
- VernacularTitle:左束支区域起搏对房室传导阻滞患者术后新发房性心律失常的影响
- Author:
Yongxu ZHANG
1
;
Yuesong WANG
;
Da YANG
;
Xuebin DONG
;
Mingyong CAO
;
Shaojun WANG
;
Kexiang TU
Author Information
1. 皖南医学院(安徽芜湖 241002)
- Keywords:
left bundle branch area pacing;
right ventricular pacing;
atrial fibrillation;
atrial high rate episodes;
atrioventricular block
- From:
The Journal of Practical Medicine
2024;40(13):1846-1850
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of left bundle branch area pacing(LBBaP)on new-onset atrial fibrillation(NOAF)and atrial high rate episodes(AHREs)in patients with atrioventricular block(AVB).Methods Eighty-four patients with Ⅲ°AVB for pacemaker implantaion were divided into the LBBaP group(n=42)and the RVSP group(n=42)based on the site of the ventricular leads.The two groupswere compared in terms of the pre-and post-operative QRSd,ventricular pacing parameters,complications,incidence of stroke,NOAF and AHREs.Results(1)The incidence of postoperative NOAF and AHREs in the LBBaP group was significantly lower compared with RVSP group(P<0.05).(2)The p-QRSd in the LBBaP group was significantly shorter compared with RVSP group(P<0.05).(3)The two groups showed no significant differences in ventricular pacing parameters,incidence of complications and stroke events(P>0.05).Conclusion LBBaP is superior to right ventricular pacing in reducing the incidence of postoperative AHREs and NOAF in patients after implantation and improving the prognosis of patients.
