| 具有一键优化功能的起搏器心脏再同步化治疗慢性心力衰竭的临床观察 |
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| 引用本文： | 杨立波,张华,贾绍斌.具有一键优化功能的起搏器心脏再同步化治疗慢性心力衰竭的临床观察[J].中国循环杂志,2011,26(2). |
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| 作者姓名： | 杨立波 张华 贾绍斌 |
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| 作者单位： | 宁夏医科大学附属医院,心脏中心,宁夏回族自治区银川市,750004 |
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| 摘 要： | 目的:观察具有一键优化功能的起搏器心脏再同步化(CRT)治疗慢性心力衰竭(CHF)的临床疗效.方法:16例CHF患者接受起搏器CRT治疗,并分别于植入起搏器术后1周、3个月、6个月、12个月行一键优化,同时行超声心动图及组织多普勒检查.评价具有一键优化功能的起搏器CRT治疗的临床疗效.结果:最佳一键优化AV间期在110-180(159.33±19.50)ms之间,最佳VV间期在0～28(15.73 ±7.55)ms之间.16例患者一键优化起搏器植入术后1周、3个月、6个月、12个月行一键优化后QRS时限、室间隔和左心室后壁收缩时间差(SPWMD)、左心室射血前时间与右心室射血前时间差值(TQ-AV-TQ-PV)、二尖瓣反流面积、左心室舒张末内径(植入术后1周除外)、血浆脑钠素均较植入前降低,并且术后随时间延长逐渐降低,差异均有统计学意义(P均<0.05);主动脉前向血流速度时间积分(VTI)、左心室射血分数、6分钟步行距离均较植入前增加,并且术后随时间延长逐渐增加(血浆脑钠素植入术后12个月与6个月比较除外),差异均有统计学意义(P均<0.05).结论:具有一键优化功能的起搏器CRT治疗能改善CHF患者的血流动力学、临床症状,提高其疗效.
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| 关 键 词： | 心脏再同步化 一键优化 组织多普勒 脑钠素 |
Clinical Effect of Cardiac Resynchronization Therapy With Quick Opt Optimized Treatment in Patients With Congestive Heart Failure |
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| YANG Li-bo,ZHANG Hua,JIA Shao-bin.Clinical Effect of Cardiac Resynchronization Therapy With Quick Opt Optimized Treatment in Patients With Congestive Heart Failure[J].Chinese Circulation Journal,2011,26(2). |
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| Authors: | YANG Li-bo ZHANG Hua JIA Shao-bin |
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| Institution: | YANG Li-bo,ZHANG Hua,JIA Shao-bin.Center of Cardiology,Affiliated Hospital of Ningxia Medical University,Yinchuan(750004),Ningxia,China |
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| Abstract: | Objective:To observe the clinical effect of cardiac resynchronization therapy(CRT)with Quick Opt optimized treatment in patients with congestive heart failure(CHF).Methods:A total of 16 CHF patients received CRT device implantation,Quick Opt optimized treatment were performed at 1 week,3 months,6 months and 12 months after CRT implantation,the clinical effects were evaluated by echocardiography,tissue Doppler imaging,ECG and plasma B-type natriuretic peptide(BNP)at each time point respectively.Results:The b... |
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| Keywords: | Cardiac resynchronization therapy Quick Opt optimized Tissue Doppler imaging B-type natriuretic peptide |
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