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| 心脏起搏对肥厚梗阻型心肌病远期临床及超声心动图影响 | |
| 引用本文： | 陈振云,裘哲君,熊海刚,张国元,吴宗贵,闵宗延,洪中立. 心脏起搏对肥厚梗阻型心肌病远期临床及超声心动图影响[J]. 解放军医学杂志, 1998, 23(5): 422-424 |
| 作者姓名： | 陈振云 裘哲君 熊海刚 张国元 吴宗贵 闵宗延 洪中立 |
| 作者单位： | 1. 315040,宁波解放军第113医院 2. 第二军医大学长征医院 3. 315040 宁波解放军第113医院;第二军医大学长征医院 4. 宁波市第二医院 5. 宁波市第三医院 |
| 摘 要： | 对２８例肥厚梗阻性心肌病（ＨＣＭ）患者进行右心室起搏治疗（ＲＶＰ），并观察起搏治疗前、起搏治疗后１２周及３．５年的超声心动图变化。结果表明，ＲＶＰ能显著改善ＨＣＭ患者的超声血流动力学变化，使ＶＬＳＤ缩小、ＬＶＯＴＧ、ＣＯ、ＣＩ、ＳＡＭ及ＬＶＯＴ血流速度显著改善，并能逆转ＶＳ及左室壁肥厚，而且这些变化随着起搏时间延长更加明显。其远期疗效显著。 |
| 关 键 词： | 心肌病 肥大型心肌病 心脏起搏 超声心动图 |
A STUDY OF LONG-TERM EFFECTS OF RIGHT VENTRICULAR PACING ON HYPERTROPHIC CARDIOMYOPATHY AND ECHCDARDIOGRAPHIC MANIFESTATION |
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| Chen Zhenyun,Qui Zhenjun,Xiong Haigang et al. A STUDY OF LONG-TERM EFFECTS OF RIGHT VENTRICULAR PACING ON HYPERTROPHIC CARDIOMYOPATHY AND ECHCDARDIOGRAPHIC MANIFESTATION[J]. Medical Journal of Chinese People's Liberation Army, 1998, 23(5): 422-424 | |
| Authors: | Chen Zhenyun Qui Zhenjun Xiong Haigang et al |
| Affiliation: | Chen Zhenyun,Qui Zhenjun,Xiong Haigang et al. The 113 Hospital of PLA,Ningbo 315040 |
| Abstract: | patients with hypertrophic cardiomyopathy(HCM) were treated with right ventricular pacing(RVP),and it was found that systolic anterior motion of the mitral valve leaflet(SAM) and LVOT blood velocity were decreased significantly,LVOT dimension was increased significantly in the early middle systolic stage( P <0.001).LVEDs, LVOTG and MR were improved greatly,clinical symptoms and cardiac function were also greatly improved. Although VS hypertrophy had been considered to be a primary feature of HCM, pacing appearsed to reverse VS thickness after 3.5 years. The changes were even more obvious with prolongation of follow up time. Since it was found that clinical sympfoms and echocardiography were improved greatly 3 5 years after RVP,RVP could be considered as an alternative treatment to surgery for patients with obstractive HCM. |
| Keywords: | cardiomyopathy hypertrophic cardiac pacing artificial echocardiography |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |