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| 心脏再同步治疗在窄QRS波慢性心力衰竭患者的疗效观察 | |
| 引用本文： | 朱丹军,薛小临,王东琦,孙超峰,韩克,崔长琮. 心脏再同步治疗在窄QRS波慢性心力衰竭患者的疗效观察[J]. 心脏杂志, 2010, 22(1): 75-77 |
| 作者姓名： | 朱丹军 薛小临 王东琦 孙超峰 韩克 崔长琮 |
| 作者单位： | 西安交通大学医学院第一附属医院心内科、环境与疾病相关基因教育部重点实验室离子通道病研究室，陕西 西安 710061 |
| 摘 要： | 目的:观察窄QRS波慢性心力衰竭(CHF)患者的双心室再同步治疗的临床疗效。方法:筛选16例窄QRS波CHF患者行双心室再同步治疗,所有病例均经冠状静脉窦植入左心室导线至心脏静脉,术后平均随访1～43个月,平均13个月,观察心功能、左心室射血分数、二尖瓣反流面积、左心室舒张末和收缩末内径等的变化。结果:16例患者治疗后心功能明显改善,有效率75%,心功能从Ⅲ～Ⅳ级(NYHA分级)改善为Ⅱ～Ⅲ级,左心室射血分数从(0.31±0.11)%提高至(0.38±0.10)%,P0.05,每搏输出量从(74±8)ml提高至(96±4)ml,P0.05,二尖瓣反流面积从(8±4)cm2减少至(6±3)cm2,P0.05,左心室舒张末内径、收缩末内径虽有缩小趋势但没有显著差异[(69±7)mmvs.(68±9)mm;(59±10)mmvs.(56±11)mm]。结论:双心室再同步治疗对某些窄QRS波CHF患者同样有效。 |
| 关 键 词： | 心力衰竭 慢性 心脏再同步治疗 |
| 收稿时间： | 2008-12-29 |
Clinical observation of cardiac resynchronization therapy for chronic heart failure patients with narrow QRS complexes |
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| ZHU Dan-jun,XUE Xiao-lin,WANG Dong-qi,SUN Chao-feng,HAN Ke,CUI Chang-cong. Clinical observation of cardiac resynchronization therapy for chronic heart failure patients with narrow QRS complexes[J]. Chinese Heart Journal, 2010, 22(1): 75-77 | |
| Authors: | ZHU Dan-jun XUE Xiao-lin WANG Dong-qi SUN Chao-feng HAN Ke CUI Chang-cong |
| Affiliation: | ZHU Dan-jun,XUE Xiao-lin,WANG Dong-qi,SUN Chao-feng,HAN Ke,CUI Chang-cong(Department of Cardiology,First Affiliated Hospital,Medical College,Xi'an Jiaotong University,Xi'an 710061,Shaanxi,China) |
| Abstract: | AIM:To investigate the clinical effect of cardiac resynchronization therapy for chronic heart failure patients with narrow QRS complexes.METHODS:Sixteen chronic heart failure patients with narrow QRS complexes received cardiac resynchronization therapy with left ventricle lead implanted into appropriate cardiac coronary vein.RESULTS:Cardiac function of 16 individuals was significantly improved after treatment.NYHA class of the patients improved from class III-IV to class II-III.After treatment,left ventricu... |
| Keywords: | chronic heart failure cardiac resynchronization therapy |
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