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心脏再同步化治疗顽固性心力衰竭已经经循证医学证实其可提高生活质量、降低心力衰竭再住院率以及降低病死率。但是,仍有部分患者疗效不佳,其主要原因中左心室电极位置的选择对心脏再同步化治疗疗效有重要影响,现从左心室电极目前的普遍选择位置、最延迟部位放置左心室电极、影响左心室电极植入位置的因素及受到的争议等方面进行综述。
Cardiac resynchronization therapy for refractory heart failure has been demonstrated by evidence-based medicine to improve quality of life, reduce rehospitalization of heart failure, and reduce mortality. However, there are still some patients with poor efficacy, the main reason for the choice of left ventricular electrode position on cardiac resynchronization therapy has an important effect, the current left ventricular electrode from the current universal choice of location, most delayed left ventricular electrode placement, The factors influencing the position of left ventricular electrode implantation and the controversy are reviewed.