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近年来,随着多项大规模临床试验的揭晓,生理性起搏的概念也发生了较大变化。在起搏模式上应用各种程控方式尽可能的减少右室起搏,鼓励自身传导。采用能尽量模拟心脏正常传导及最小的血流动力学改变的起搏部位。生物起搏器能更生理性的恢复心脏的起搏和传导功能,将是未来发展的方向。而远程监控、远程随访、病情监测等多种新功能提高了起搏器的工作效率,扩展了起搏器的功能。现就起搏模式和部位的生理化以及生物起搏器、起搏器的远程监控技术等方面的研究进展进行综述。
In recent years, with the announcement of a number of large-scale clinical trials, the concept of physiological pacing has also undergone major changes. In the pacing mode of application of a variety of program-controlled approach to minimize right ventricular pacing, to encourage their own conduction. Pacemaker is designed to simulate normal cardiac conduction and minimal hemodynamic changes. Biological pacemaker to more physiological recovery of cardiac pacing and conduction function, will be the future direction of development. The remote monitoring, remote follow-up, disease monitoring and other new features improve the working efficiency of pacemakers, expanding the pacemaker function. Now on the pacemaker mode and part of the physiology and biological pacemaker, pacemaker remote monitoring technology and other aspects of research progress are reviewed.