{"id":5976,"date":"2025-09-02T10:16:18","date_gmt":"2025-09-02T08:16:18","guid":{"rendered":"https:\/\/rythmologie.fr\/index\/?p=5976"},"modified":"2025-09-05T10:42:14","modified_gmt":"2025-09-05T08:42:14","slug":"stimulation-de-laire-de-la-branche-gauche-ou-conventionnelle-avant-65-ans","status":"publish","type":"post","link":"https:\/\/rythmologie.fr\/index\/stimulation-de-laire-de-la-branche-gauche-ou-conventionnelle-avant-65-ans\/","title":{"rendered":" Stimulation de l\u2019aire de la branche gauche ou ..."},"content":{"rendered":"<h1>Stimulation de l\u2019aire de la branche gauche ou conventionnelle avant 65 ans<\/h1>\n<p>Two-year outcomes of left bundle branch area pacing versus traditional right ventricular pacing in middle-aged adults pr\u00e9sent\u00e9 par le Pr Matteo Bertini<\/p>\n<p><strong>Messages cl\u00e9s <\/strong><\/p>\n<ul>\n<li>Registre italien qui montre une diminution du crit\u00e8re D\u00e9c\u00e8s + mortalit\u00e9 \u00e0 2 ans chez les patients stimul\u00e9s sur l\u2019aire de la branche gauche par rapport \u00e0 la stimulation conventionnelle.<\/li>\n<li>Le b\u00e9n\u00e9fice est major\u00e9 chez les patients ayant le taux de stimulation le plus \u00e9lev\u00e9.<\/li>\n<\/ul>\n<p><strong>Introduction<\/strong><\/p>\n<p>Les patients implant\u00e9s de pacemaker jeunes sont sous repr\u00e9sent\u00e9s dans les \u00e9tudes. C\u2019est une population avec moins de comorbidit\u00e9 et plus de r\u00e9serve cardiaque mais aussi plus de stimulation attendue sur leur vie. La stimulation de l\u2019aire de la branche gauche est-elle meilleure que la stimulation conventionnelle ?<\/p>\n<p><strong>M\u00e9thodologie et r\u00e9sultats<\/strong><\/p>\n<ul>\n<li>Population : Patient d\u2019\u00e2ge &lt;65 ans ayant une indication de pacemaker<\/li>\n<li>Design : r\u00e9trospective 172 pt vs 172. Le choix de la stimulation avait \u00e9t\u00e9 fait par l\u2019implanteur<\/li>\n<li>Crit\u00e8re primaire : D\u00e9c\u00e8s + Hospitalisation pour insuffisance cardiaque<\/li>\n<li>R\u00e9sultat principal : Age moyen 58 ans 80% Double chambre pour BAV. B\u00e9n\u00e9fice HF +DC groupe LBBAP mais pas DC seul. Plus marqu\u00e9 chez les patients stimulo d\u00e9pendants (Ablation NAV)<\/li>\n<\/ul>\n<p><strong>Conclusion<\/strong><\/p>\n<p>La stimulation de l\u2019aire de la branche gauche montre un b\u00e9n\u00e9fice sur le crit\u00e8re combin\u00e9 mortalit\u00e9 et insuffisance cardiaque \u00e0 2 ans avec un b\u00e9n\u00e9fice maximal chez les patients les plus stimul\u00e9s.<\/p>\n<p style=\"text-align: right;\"><em>Auteur : Dr J\u00e9r\u00f4me Taieb<\/em><\/p>\n<p><strong>Visuels cl\u00e9s<\/strong><\/p>\n<p style=\"text-align: left;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-5977 size-full\" src=\"https:\/\/rythmologie.fr\/index\/wp-content\/uploads\/2025\/09\/Stimulation-de-laire-de-la-branche-gauche-ou-conventionnelle-1.png\" alt=\"\" width=\"604\" height=\"340\" srcset=\"https:\/\/rythmologie.fr\/index\/wp-content\/uploads\/2025\/09\/Stimulation-de-laire-de-la-branche-gauche-ou-conventionnelle-1.png 604w, https:\/\/rythmologie.fr\/index\/wp-content\/uploads\/2025\/09\/Stimulation-de-laire-de-la-branche-gauche-ou-conventionnelle-1-300x169.png 300w\" sizes=\"auto, (max-width: 604px) 100vw, 604px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-5978 size-full\" src=\"https:\/\/rythmologie.fr\/index\/wp-content\/uploads\/2025\/09\/Stimulation-de-laire-de-la-branche-gauche-ou-conventionnelle-2.png\" alt=\"\" width=\"604\" height=\"340\" srcset=\"https:\/\/rythmologie.fr\/index\/wp-content\/uploads\/2025\/09\/Stimulation-de-laire-de-la-branche-gauche-ou-conventionnelle-2.png 604w, https:\/\/rythmologie.fr\/index\/wp-content\/uploads\/2025\/09\/Stimulation-de-laire-de-la-branche-gauche-ou-conventionnelle-2-300x169.png 300w\" sizes=\"auto, (max-width: 604px) 100vw, 604px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: left;\"><strong>R\u00e9f\u00e9rences bibliographiques<\/strong><\/p>\n<p>Bertini M, Canovi L, Vitali F, Marcantoni L, Pastore G, Volpicelli M, Munciguerra O, Biffi M, Ziacchi M, Rossi L, Carinci V, Sirugo P, Pastori P, Imberti JF, Pellegrino PL, Guerriero E, Sassone B, Bertagnin E, Coppola G, Malag\u00f9 M, Balla C, Azzolini G, Zuccari G, Zanon F, Boriani G, Zuin M. Two-year outcomes of left bundle branch area pacing versus traditional right ventricular pacing in middle-aged adults: a registry-based trial. Europace. 2025 Aug 4;27(8):<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Stimulation de l\u2019aire de la branche gauche ou conventionnelle avant 65 ans Two-year outcomes of left bundle branch area pacing versus traditional right ventricular pacing in middle-aged adults pr\u00e9sent\u00e9 par le Pr Matteo Bertini Messages cl\u00e9s Registre italien qui montre une diminution du crit\u00e8re D\u00e9c\u00e8s + mortalit\u00e9 \u00e0 2 ans chez les patients stimul\u00e9s sur&hellip;<\/p>\n","protected":false},"author":2,"featured_media":6023,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[51,61,22],"tags":[],"class_list":["post-5976","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-congres","category-esc-2025","category-articles","category-51","category-61","category-22","description-off"],"_links":{"self":[{"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/posts\/5976","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/comments?post=5976"}],"version-history":[{"count":2,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/posts\/5976\/revisions"}],"predecessor-version":[{"id":6024,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/posts\/5976\/revisions\/6024"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/media\/6023"}],"wp:attachment":[{"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/media?parent=5976"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/categories?post=5976"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/tags?post=5976"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}