| 心脏再同步治疗中膈神经刺激的单中心回顾分析 |
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| 引用本文： | 林永青,王景峰,陈样新,袁沃亮,陈明. 心脏再同步治疗中膈神经刺激的单中心回顾分析[J]. 中华心律失常学杂志, 2009, 14(4): 176-178. DOI: 10.3760/cma.j.issn.1007-6638.2010.03.005 |
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| 作者姓名： | 林永青 王景峰 陈样新 袁沃亮 陈明 |
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| 作者单位： | 中山大学附属第二医院心内科,广州,510120; |
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| 摘 要： | Objective To analyze the phrenic nerve stimulation and the appropriate treatment during and after CRT/CRT-D implantation. Methods Seventy-nine patients (45 men and 34 women, aged 35 ～ 86 years) received CRT/CRT-D implantation. The patients were followed up for average 24 months. The phrenic nerve stimulations was analyzed and the corresponding treatments were taken. Results Seventy-eight patients received successful implantation(98. 7% ). The incidence rates of the phrenic nerve stimulation is 12. 8% during and after the implantation. Posterior veins and posterior lateral veins are predilection sites. The risk increased in the patients with short stature and enlarged heart. Phrenic nerve stumilation can be eliminated by adjusting the electrode position, output voltage pulse, width and changing the polarity. Nobody needs another operation because of the phrenic nerve stimulation. Conclusions Phrenic nerve stimulation is a common complication of CRT/CRT-D implantation operation. Doctors should take great attention to prevent this complication during the implanting procedure and follow-up.
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| 关 键 词： | 心脏再同步治疗 膈神经刺激 心力衰竭 并发症 |
A single-center retrospective analysis of phrenic nerve stimulation in cardiac resynchronization therapy |
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| LIN Yong-qing,WANG Jing-feng,CHEN Yang-xin,YUAN Wo-liang,CHEN Ming. A single-center retrospective analysis of phrenic nerve stimulation in cardiac resynchronization therapy[J]. Chinese Journal of Cardiac Arrhythmias, 2009, 14(4): 176-178. DOI: 10.3760/cma.j.issn.1007-6638.2010.03.005 |
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| Authors: | LIN Yong-qing WANG Jing-feng CHEN Yang-xin YUAN Wo-liang CHEN Ming |
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| Abstract: | |
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| Keywords: | Cardiac resynchronization therapyPhrenic nerve stimulationHeart failureComplication |
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