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| 扩张型心肌病患者心脏再同步化治疗的疗效观察 | |
| 引用本文： | 徐茂椿,邱建平,张瑜,朱华,刘淼,孙敏敏.扩张型心肌病患者心脏再同步化治疗的疗效观察[J].临床心血管病杂志,2010,26(2). |
| 作者姓名： | 徐茂椿 邱建平 张瑜 朱华 刘淼 孙敏敏 |
| 作者单位： | 1. 上海浦东新区公利医院心内科,上海,200135 2. 上海浦东新区公利医院心脏超声室 3. 上海市中山医院心脏超声室 |
| 摘 要： | 目的:观察在组织多普勒指导下对药物难治性扩张型心肌病(DCM)充血性心力衰竭的心脏再同步化治疗(CRT)的疗效。方法:选择18例经药物治疗后无效的DCM充血性心力衰竭患者行CRT。术前行二维超声心动图和组织多普勒检查,术后1周在组织多普勒指导下行房室和室间延迟优化。术后1个月、3个月、6个月及1年随访患者的临床症状,并比较各项参数的变化。结果:CRT后①心功能从Ⅲ～Ⅳ级改善为Ⅰ～Ⅲ级,左室射血分数由(26.42±6.7)%增加到(33.44±6.0)%,P<0.01;②左室舒张末内径由(75.31±8.52)mm减少至(67.24±10.57)mm,P<0.05;③左右室间收缩时间差、左室内不同步指数有显著改善,但随着术后时间的延长无明显变化。结论:CRT可以改善DCM患者的左、右室间和左室内收缩活动不同步,逆转心室扩大,提高心功能,其近期疗效显著。 |
| 关 键 词： | 心肌病 扩张型 心脏再同步化治疗 组织多普勒 起搏器参数 |
Long-term outcome of cardic resynchronization therapy in the dilated cardiomyopathy patients |
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| XU Maochun,QIU Jianping,ZHANG Yu,ZHU Hua,LIU Miao,SUN Minmin.Long-term outcome of cardic resynchronization therapy in the dilated cardiomyopathy patients[J].Journal of Clinical Cardiology,2010,26(2). | |
| Authors: | XU Maochun QIU Jianping ZHANG Yu ZHU Hua LIU Miao SUN Minmin |
| Institution: | 1Department of Cardiology/a>;2Department of Echocardiography/a>;Shanghai Pudong New Area Gongli Hospital/a>;Shanghai/a>;200135/a>;China/a>;3Department of Echocardiography/a>;Shanghai Zhong-shan Hospital |
| Abstract: | Objective:To investigate the long-term effect of cardiac resynchronization therapy (CRT) in patients with dilated cardiomyopathy.Method:Eighteen dilated cardiomyopathy patients with drug-refractory heartfailure received cardiac resynchronous pacing. Check all the patients using the two-dimensional echocardiography and Tissue Doppler imaging(TDI) before and one week after CRT. After 1 month,3 months,6 months and one year follow-up of patients with clinical symptoms,and compare the various parameters change. ... |
| Keywords: | cardiomyopathy dilated cardiac resynchronization therapy tissue Doppler imaging pacemaker parameters |
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