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Marcapasso fisiológico: do que se trata?

Publicado por Marcelo Carrijo

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marcapasso fisiologico do que se trata

Marcapasso fisiológico: do que se trata?

Cada vez mais nos inteiramos das propriedades normais, fisiológicas, do estímulo elétrico do coração.

Nos marcapassos convencionais a estimulação dos ventrículos é feita célula a célula muscular que se inicia na parede do ventrículo direito.

Para que todos os miócitos recebam a energia para se contrair demanda-se um tempo relativamente longo; a parede lateral do ventrículo esquerdo vai se contrair “atrasado” em relação ao ventrículo direito: isso não é fisiológico.

Hoje, conseguimos colocar o eletrodo ventricular diretamente no sistema elétrico após o local de bloqueio que possa estar acometendo o paciente.

Desta maneira, fisiologicamente, o estímulo elétrico do marcapasso penetra na fiação natural do coração que entrega a energia o mais sincronizado possível não ocasionando o atraso entre as paredes dos ventrículos.

Nossa equipe, da Ritma, realizou o primeiro marcapasso fisiológico de Uberlândia; mostro o vídeo da posição do eletrodo ventricular e o resultado eletrocardiográfico do implante.

O bloqueio de ramo esquerdo é desfeito com encurtamento da dissipação elétrica em todo o coração.

Arritmia em Uberlândia Dr. Marcelo Carrijo

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.elementor-custom-embed-play i{opacity:1;}.elementor-widget-video .elementor-custom-embed-image-overlay img{display:block;width:100%;aspect-ratio:var(--video-aspect-ratio);-o-object-fit:cover;object-fit:cover;-o-object-position:center center;object-position:center center;}@supports not (aspect-ratio:1/1){.elementor-widget-video .elementor-custom-embed-image-overlay{position:relative;overflow:hidden;height:0;padding-bottom:calc(100% / var(--video-aspect-ratio));}.elementor-widget-video .elementor-custom-embed-image-overlay img{position:absolute;top:0;right:0;bottom:0;left:0;}}.elementor-widget-video .e-hosted-video .elementor-video{-o-object-fit:cover;object-fit:cover;}.e-con-inner>.elementor-widget-video,.e-con>.elementor-widget-video{width:var(--container-widget-width);--flex-grow:var(--container-widget-flex-grow);}.elementor-heading-title{padding:0;margin:0;line-height:1;}.elementor-widget-heading 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