Injury treatment into the physiological era -the 100th left bouquet of the Cardiology Department of Changzhou Second Hospital has been planted

Permanently implanted permanent pacemaker treatment of heartbeat is a mature technology. It has been carried out clinically for 60 years, which can improve the quality of life of patients and extend life. Recently, medical scientists have begun to pursue a physiological fighting mode.

The traditional pairing wire is placed in the interval between the right ventricle or the tip of the heart. The excitement of these parts is expanded through the myocardium. The conduction speed is very slow, and the conduction order is completely different from the normal heart excitement. The normal heart excitement was passed on by the Hipu system (He's beam-left and right beam-Pukeye fiber). In the transmission system, the excitement generated by this combat method is basically the same as the normal heart excitement, and the fighting heart electrical electrical image is basically the same as normal people. The pairing parameters are more stable and more secure, which is expected to become the mainstream method of physiological fighting.

In 2018, the Cardiology Team of the Second People's Hospital of Changzhou City successfully completed the first case of Hydrus. In 2019, the first left beam area was successfully completed. So far In 100 cases, in the field of physiological fighting in Changzhou, it has been at a leading level.

One

Uncle Guo, 58, went to the medical examination of the Second Hospital of Changzhou in June 2022 for "sudden chest tightness and palpitations" in June 2022. He found that his heartbeat was 40 every minute. The arrhythmia of the ventricular blocking "is prompting the heart to increase the heart before surgery and the left heart function is normal. Considering that Uncle Guo's heartbeat is slow, the three -dimensional room conduction block, and the whole heart has increased. After discussion of the team, he believes that physiological pairing therapy is more in line with his actual clinical needs and has a small impact on later heart function. On June 27, 2022, Wang Fangfang, deputy chief physician of the Department of Cardiology, successfully performed pairing treatment for Uncle Guo. The heartbeat was returned to 70 times per minute after surgery. The patient's chest tightness and palpitations disappeared and discharged 3 days after surgery. It is understood that this case is the 100th patient with a heartbeat in the Department of Cardiology of the Second Hospital of Changzhou.

Case one, Uncle Guo, an electro -electrocardiogram before surgery

Case one, Uncle Guo, an electrocardiogram after surgery

Case 2

Last year, Aunt Yang, who was 73 years old, had repeated symptoms of chest tightness and asthma in recent years. The whole body was obvious, and the treatment of multiple drugs was still poor. She was accompanied by her family to go to the Cardiology Department of the Second Hospital of Changzhou, and she found that her left heart was significantly increased. The left indoor diameter reached 59 mm. The left heart function was significantly reduced. Prompt a complete left beam -branched block, diagnosis of dilated cardiomyopathy and heart failure. After discussion in the team, and according to the wishes of the patient and his family, Wang Fangfang conducted a left -tied regional pairing treatment for Aunt Yang, and the surgery was smooth. In the March after the operation, the heart was over. Surprisingly, Aunt Yang's serious chest tightness and asthma symptoms disappeared, and the heart had basically returned to the state of normal people. The left indoor diameter had been reduced to 54 mm. Restore to 42%, just slightly worse than normal people.

Case 2, Aunt Yang, an electrocardiogram before surgery

Case 2, Aunt Yang, super before surgery

Case 2, Aunt Yang, an electrocardiogram after surgery

Case 2, Aunt Yang, super after surgery

(Figure two patients with a wide range of electrocardiogram before surgery, indicating that the cardiac synchronization is poor, and the postoperative electroorphic form and width are close to normal people, indicating that cardiac synchronization recovery)

Left bearing pace treatment postoperative video film

Left bearing pace treatment postoperative electronic physiological diagram

What are the advantages of physiological fighting?

Ji Ji, director of the Department of Cardiology of the Second Hospital of Changzhou, said that physiological fighting was passed through the electrical conductivity system of the heart itself. Therefore, compared with the traditional way of fighting, physiological fighting has a great advantage:

First, the electrical synchronization of the heart: The ECG based on the fighting of the Hepu system and the graphics of the normal excitement are basically the same.

The second is the synchronization of the heart's mechanical contraction: based on the synchronization of Hipu system electrical, the mechanical synchronization of heart contraction is basically normal. The mechanical synchronization of traditional right ventricular pairing is very poor. Some patients can gradually progress to heart failure under the traditional pairing method. Therefore, the Hipu system fighting has the role of preventing heart failure;

Third, for the treatment of electrical loss synchronization or mechanical contraction and non -synchronization, heart failure: many patients with heart failure have different degrees of electrical synchronization or mechanical contraction and failure. For this kind of patient Its electrical or machinery is not synchronized to achieve the role of the treatment of heart failure.

At present, the proportion of left -handed race treatment of "room conduction block" in the Department of Cardiology, the Second People's Hospital of Changzhou City is close to 100%, and also routinely carry out routine to carry out wireless pairing treatment and subcutaneous ICD pairing therapy. Waiting for the latest technologies to reach the leading level and advanced level of the province, it can provide more patients with high -quality, advanced, and cutting -edge medical technology and services.

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