| 经导管射频消融治疗室性心律失常的疗效观察 |
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| 引用本文： | 张晔,王玉堂,单兆亮,时向民,苑洪涛,郭红阳.经导管射频消融治疗室性心律失常的疗效观察[J].中国全科医学,2009,12(4). |
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| 作者姓名： | 张晔 王玉堂 单兆亮 时向民 苑洪涛 郭红阳 |
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| 作者单位： | 中国人民解放军总医院心内科,北京市,100853 |
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| 摘 要： | 目的 探讨经导管射频消融治疗特发性室性心动过速及频发室性期前收缩的疗效及安全性.方法 141例特发室性心动过速及频发室性期前收缩患者(男80例,女61例)采用激动顺序标测和(或)起搏标测方法行导管射频消融治疗.结果 消融成功128例,成功率为90.8%,起源于右室流出道的室性心动过速或室性期前收缩消融成功率为92.0%.20例患者行消融前后的Hoher检查,术前平均(21 824±12 769)次/24 h,术后平均(1 548±2 926)次/24 h,二者间差异有统计学意义(P<0.001).随访3～36个月,10例复发并全部再次消融成功.无并发症发生.结论 导管射频消融治疗症状严重且药物治疗无效的特发性室性心动过速或频发室性期前收缩是安全、有效、可行的方法.
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| 关 键 词： | 导管射频消融 室性心动过速 室性期前收缩 |
Clinical Effects of Radiofrequency Catheter Ablation on Ventricular Arrhythmia |
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| ZHANG Ye,WANG Yu-tang,SHAN Zhao-liang,et al..Clinical Effects of Radiofrequency Catheter Ablation on Ventricular Arrhythmia[J].Chinese General Practice,2009,12(4). |
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| Authors: | ZHANG Ye WANG Yu-tang SHAN Zhao-liang |
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| Institution: | ZHANG Ye,WANG Yu-tang,SHAN Zhao-liang,et al.Department of Cardiology,General Hospital of PLA,Beijing 100853,China |
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| Abstract: | Objective To evaluate the efficacy and safety of radiofrequency catheter ablation(RFCA) in patients with idiopathic ventricular tachycardia(IVT) and frequent ventricular premature(FVP).Methods RFCA with activation sequence mapping and/or pace mapping was performed in 141 patients with IVT and FVP(80 males and 61 females).Results RFCA was successful in 128 patients(90.8%).The successful rate in IVT or FVP patients with the ectopic focus localized on the right ventricular outflow tract was 92%.The 24-hour amb... |
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| Keywords: | Radiofrequency catheter ablation Ventricular tachycardia Ventricular premature |
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