王滢慧,马生龙

慢性心力衰竭主要指由于各种原因导致心脏射血量不足以满足机体日常活动需求的一组临床综合征，常见于各种心血管疾病终末阶段。心脏再同步化治疗（CRT）主要通过同时起搏左右心室从而改善心室收缩不同步，进而提高射血分数，改善心衰患者症状和生活质量。随着科技及医疗技术的发展，其治疗方法也由传统双心室起搏发展为以心脏再同步化治疗除颤器(CRT-D)及希-浦系统起搏为主(HBP)的生理性起搏。本文主要通过对心脏再同步化治疗研究现状及生理性起搏方法的选择进行综述，从而为慢性心力衰竭的临床诊治提供指导意见。

心脏再同步化治疗；慢性心力衰竭；心脏再同步化治疗除颤器；传导系统起搏

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