| 不同起搏方式对起搏器置入患者血浆B型脑钠肽及心脏功能、结构的影响 |
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| 引用本文： | 潘展群,吴清华. 不同起搏方式对起搏器置入患者血浆B型脑钠肽及心脏功能、结构的影响[J]. 山东医药, 2009, 49(9): 9-11 |
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| 作者姓名： | 潘展群 吴清华 |
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| 作者单位： | 南昌大学第二附属医院,江西南昌,330006;南昌大学第二附属医院,江西南昌,330006 |
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| 摘 要： | 目的观察不起起搏方式对起搏器置入患者血浆B型脑钠肽及心脏功能、结构的影响。方法选择125例行起搏器置入患者，均置入DDD型起搏器，按心室导线固定部位不同分为右室心尖部起搏组和右室间隔部起搏组，比较两组手术前后心电图QRS间期、血浆B型脑钠肽（BNP）、超声心动图的变化情况。结果术前两组Ⅱ导联QRS间期、BNP、超声心动图检查结果无统计学差异，术后3个月时右室心尖部起搏组左房内径、左室舒张末期内径、室间隔厚度均较右室间隔部起搏组显著增大（P〈0．05），射血分数显著下降（P〈0．05），BNP显著升高（P〈0．05）。结论右室心尖部起搏组与右室间隔部起搏相比，心腔扩大，射血分数下降，BNP水平增高明显。
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| 关 键 词： | 心脏起搏 人工 B型脑钠肽 电描记术 超声心动描记术 彩色多普勒 |
Influence of different pacing modes to plasma levels of brain natriuretic peptide and heart functions of patients with DDD pacemaker |
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| PAN Zhan-qun,WU Qina-hua. Influence of different pacing modes to plasma levels of brain natriuretic peptide and heart functions of patients with DDD pacemaker[J]. Shandong Medical Journal, 2009, 49(9): 9-11 |
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| Authors: | PAN Zhan-qun WU Qina-hua |
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| Affiliation: | PAN Zhan-qun,WU Qing-hua (Second Affiliated Hospital of Nanchang University,Nanchang 330006,P.R.China) |
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| Abstract: | Objective To study the influence of different paceing modes to plasma levels of brain natriuretic peptide(BNP) and heart functions.Methods 125 patients were performed with DDD pacemaker,according to the site where the ventricular pacing lead fixed.The patients were divided into right ventricular apex(RVA) pacing group and right ventricular septum(RVS) pacing group,each group received ECG,echocardiography measurements and plasma levels of brain natriuretic peptide were assayed before and 3 months after the o... |
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| Keywords: | cardiac pacing artificial brain natriuretic peptide electrocardiograpy echocardiography color doppler |
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