全军心律失常介入治疗资料总汇

目的汇总分析全军心律失常介入治疗资料,了解此领域工作的现状与不足。方法由全军心血管内科专业委员会组织对2005年1月1日至2006年12月31日期间全军医疗单位心律失常介入治疗资料进行注册登记和统计分析。结果①此次注册共收到全军40家医院共9 934例注册资料。开展射频消融(RFCA)工作的医院共33家,注册病例数6 242例,其中开展三维标测技术治疗快速心律失常的医院有9家,病例数达180例;开展心脏器械置入治疗工作的医院共39家,病例数3 656例。②6 242例RFCA注册资料总成功率97.45%,复发率2.12%,并发症发生率0.54%。各类心律失常中,房室折返性心动过速(AVRT)最多,房室结折返性心动过速(AVNRT)次之,AVRT和AVNRT成功率始终保持在较高的水平,而心房颤动(AF)的复发率最高。34例并发症中血管并发症和完全性房室传导阻滞占绝大部分。③多家单位开展了新型三维标测系统治疗复杂快速性心律失常。180例注册病例中,AF最多、共110例(61.11%),成功率99.09%,复发率24.55%;非特发性室性心动过速(non-IVT)次之、共26例(14.44%),成功率88.46%,复发率8.33%;其余类型心律失常完成例数较少。④3 656例心脏器械置入病例总成功率99.92%(3 653/3 656),并发症发生率1.94%(71/3 653)。在各种器械置入适应证中,病窦综合征占最大比例,其次为房室传导阻滞。双腔起搏比例远超过心室单腔起搏。三腔双心室起搏器及埋藏式心脏转复除颤器的临床应用尚较少。结论全军心律失常介入治疗发展迅速。

The survey on interventional therapy of arrhythmia in Chinese military hospitals.

Objective To analyze the cumulative data of interventional therapy in the treatment of arrhythmia in Chinese military hospitals.Methods Chinese PLA Cardiology Association sponsored the registration and statistical analysis of the results of interventional therapy in the treatment of arrhythmia from January 1,2005 to December 31,2006.Results ① A total of 9 934 patients from 40 hospitals was accepted during this registration.6 242 patients from 33 hospitals underwent radiofrequency catheter ablation(RFCA),including 180 patients undergoing realtime three dimentional magnetic navigation system from 9 hospitals.3 656 patients from 39 hospitals underwent cardial permanent implanted pacemakers or implanted cardioventer-defibrillator(ICD).②The success rate of RFCA was 97.45%,with a complication rate 0.54% and recurrence rate 2.12%.The number of patients with AV accessory pathway(AVRT) was on the top of the list,followed by AV nodal reentrant tachycardia(AVNRT).High success rate was maintained in AVNRT and AVRT ablation,while the recurrence rate of atrial fibrillation(AF) was still higher than others.The total number of complications was 34 cases,which were composed mainly by vessel complication and complete AV block.③More hospitals treated complicated tachyarrhythmias with realtime three dimentional magnetic navigation system.180 cases included 110 patients of AF with a success rate 99.09% and recurrence rate 24.55%,26 patients of non-IVT with a success rate 88.46% and recurrence rate 8.33%,and less cases of other types of arrhythmias.④ The success rate of 3 656 cases undergoing cardial permanent implanted pacemakers or ICD was 99.92%,with a complication rate 1.94%.Among the indications,sick sinus syndrome(SSS) possessed the highest percentage,with atrioventricular block(AVB) followed.Less cases underwent CRT and ICD.Conclusion Interventional therapy for the treatment of arrhythmias was rapidly developed in Chinese military hospitals.