2023-09-04 07:26:45
Local cardiologists publish 2 new studies: new pacing and atrial fibrillation surgery optimization improves efficiency and reduces risk
After ten years, the Asia Pacific Heart Rhythm Society (APHRS) once again chose Hong Kong to hold the “The 16th Asia Pacific Heart Rhythm Society Scientific Conference and Hong Kong Heart Rhythm Symposium 2023“, was held at the Hong Kong Convention and Exhibition Center from September 1st to 3rd this year, bringing cardiologists from all over the world to give speeches and exchanges. A media conference was held today to explain the latest research on conduction system pacing and optimization of left atrial appendage closure led by local cardiologists. The two treatments are respectively used for patients with conduction system abnormalities and atrial fibrillation. The research results can greatly improve the treatment effect and improve the condition, and it is also expected to further reduce the risk of surgery.
(From left) Dr. Tam Chi Kin, Clinical Lecturer in Cardiology, Department of Medicine and Therapeutics, The Chinese University of Hong Kong; Prof. Liu Zhubai, Honorary Chairman of the Organizing Committee of the 16th Asia Pacific Heart Rhythm Society Scientific Conference; Chen Yixian, Co-Chairman of the 16th Asia Pacific Heart Rhythm Society Scientific Conference Mr. Li, a doctor and patient with atrial fibrillation.
Novel conduction system pacing helps reduce heart failure risk and improve heart function
Professor Liu Zhubai, Honorary Chairman of the Preparatory Committee of the 16th Asia-Pacific Heart Rhythm Society Scientific Conference, pointed out that about 2,600 patients with bradycardia in Hong Kong need to be implanted with a pacemaker every year, but the right ventricular (RVAP) pacing has been used for more than 50 years It can lead to cardiac dysfunction, and the research indicates that about one in four (about 600-700) patients will be affected within 8 years. Recent studies have found that the latest left bundle branch pacing method can reduce the risk of heart failure by 2-5 times, and effectively improve heart function and mortality. The rate of doctors in Hong Kong using the new pacing method has reached 40%, leading other regions, and this new pacing technology is gradually being adopted all over the world. Professor Liu Zhubai reminded patients to pay attention to their own symptoms, especially the elderly, males, pacing ratio more than 40%, and other cardiovascular diseases. The risk of heart failure is particularly high. If in doubt, they should consult a doctor and start with drugs or changes as soon as possible. strokes to prevent heart failure.
Professor Liu Zhubai said that the traditional pacing method will lead to the decline of heart function, and the use of conduction system pacing can effectively reduce the risk of heart failure and death.
Dr. Tan Zijian, clinical lecturer in the Department of Cardiology, Department of Medicine and Therapeutics, The Chinese University of Hong Kong, added at the meeting that according to the clinical research conducted jointly by CUHK and the Prince of Wales Hospital, patients with severe heart failure need to receive simultaneous pacing and defibrillation therapy , It was found that conduction system pacing provides patients with a safer and more effective new treatment option. Compared with traditional pacing methods, conduction system pacing can help improve the pumping function of the heart, thereby reducing symptoms and improving quality of life.
Citing local studies, Dr. Tam Chi Kin pointed out that conduction system pacing can improve the pumping function of the heart in patients with heart failure.
First Asia Pacific Study Uses New Cardiac Computer Scanning Software to Optimize Atrial Fibrillation Surgery
Dr. Chen Yixian, Co-Chairman of the Preparatory Committee of the 16th Asia-Pacific Heart Rhythm Society Scientific Conference, published a new technology in atrial fibrillation surgery. Atrial fibrillation can cause ischemic stroke and other diseases. One fifth of ischemic stroke patients are related to atrial fibrillation. For patients with atrial fibrillation who are not suitable for taking anticoagulant drugs to prevent stroke, left atrial appendage catheterization can be performed as a treatment.
Hong Kong conducted the first study in the Asia-Pacific region on the optimization of surgery with new computerized cardiac scanning software. The new computerized scanning software was used to replace the preoperative and postoperative esophageal echocardiography in traditional surgical procedures. The results showed that this method can increase the accuracy of surgery, In terms of safety, success rate and efficiency, the second phase of research will be carried out in the future, and it is hoped that the new technology will be applied in clinical medicine to benefit more patients.
Dr. Chen Yixian published a brand-new technology of atrial fibrillation surgery, using new heart computer scanning software, which can increase the accuracy, safety, success rate and efficiency of surgery.
79-year-old atrial fibrillation patient feels good after surgery with new technology
Mr. Li, 79 years old, has been suffering from diabetes, high blood pressure and high cholesterol since he was about 60 years old. Mr. Li was diagnosed with atrial fibrillation about 10 years ago. He needs to take anticoagulant drugs for a long time to prevent stroke. Last year, the doctor found that there was a thrombosis near the left atrial appendage of Mr. Li. The risk of stroke or even death was extremely high. The dose of anticoagulant drugs was gradually increased. However, after 1 year of treatment, blood clots still exist, which means that the risk has not been reduced.
Recently, after a doctor’s evaluation, Mr. Li was considered suitable for “left atrial appendage closure surgery”. Incorporate computer scanning software to optimize the operation process”, only need to perform computer scan examination before and after operation (45 days), and receive local anesthesia + intracardiac ultrasound examination during the operation, then “left atrial appendage closure operation” can be performed, Mr. Li Said that the operation was relatively easy and the recovery time was short, and he felt good after the operation.
Mr. Li, a patient with atrial fibrillation, shared that he felt good after performing the “left atrial appendage closure” using computer scanning software to optimize the surgical procedure.
Further reading:World Heart Day 2023 Healthy Run and Heart Healthy Carnival
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