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|本期目录/Table of Contents|

特发性永久性心房颤动的治疗策略(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2005年第4期
页码:
383-384,387
栏目:
临床研究
出版日期:
2005-09-05

文章信息/Info

Title:
Therapeutic strategy for persistent idiopathic atrial fibrillation
作者:
何勇1; 王军2; 郑强荪1; 薛玉生1; 柳荫1; 张录兴1; 王毅1; 汤雁玲1
1．第四军医大学唐都医院心内科，陕西 西安 710038; 2．武警陕西总队医院麻醉科，陕西 西安 710054
Author(s):
HE Yong1;  WANG Jun2; ZHENG Qiangsun1; XUE Yushen1; LIU Yin1; ZHANG Luxing1; WANG Yi1; TANG Yanling1
1.Department of Cardiology，Tangdu Hospital，Fourth Military Medical University，Xi′an，Shaanxi 710038，China； 2. Department of Anaesthesia, General Divicion of Armed Police,Xi′an,Shaanxi,710054,China
关键词:
心房颤动; 药物; 电复律; 导管消融; 射频电流
Keywords:
atrial fibrillation;  persistent;  drug;  electric cardioversion;  cather ablation;  radiofrequency current
分类号:
R541.75
DOI:
-
文献标识码:
A
摘要:
目的 报道58例特发性永久性心房颤动（房颤）患者经药物、电复律、射频消融、起搏等多种方法治疗的结果。方法 药物、电复律、射频消融、起搏等方法治疗永久性房颤。结果 单纯药物复律30例，平均复律天数为8±5 d;电复律22例;药物及电复律不成功6例，占10%。随访期间临床治愈12例，显效19例，有效14例，无效8例，总有效率76%;复律组行肺静脉口射频消融18例，临床治愈4例，显效5例，有效5例，无效4例，总有效率78%，2例植入抗房颤起搏器有效。结论 药物、电复律、射频消融及起搏器联合应用明显提高特发性永久性房颤的疗效。
Abstract:
AIM To evaluate the effects of drug, electric cardiovertion, radiofrequency ablation and implantable antiatrialfibrillation pacemaker on patients with persistent idiopathic atrial fibrillation. METHODS 58 patients with persistent idiopathic atrial fibrillation were treated with drug or electric cardiovertion, radiofrequence ablation and antiatrialfibrillation pacemaker.RESULTS 30 patients were successfully converted to sinus rhythm by drug. The mean conversion time of drug was 8±5 days. 22 patients were converted by electric cardioversion. 10% of cases(6 of 58) failed to be converted by both methods. In followup period, 12 cases of patients were cured, 19 cases were significantly improved, 14 cases showed moderate improvement, and 8 cases showed no improvement. The total effective rate was 76%. Of the 18 cardioversion patients;4 were cured , 5 cases significantly improved, 5 cases moderately improved, and 4 cases showed no improvement. The total efficiency rate was 75%(14 of 18). 2 cases got improvement by antiatrial fibrillation pacemaker. CONCLUSION Combination treatment of drug, electric cardioversion, radiofreqency ablation and antiatrial fibrillation pacemaker can improve curative rate of persistent idiopathic atrial fibrillation.

参考文献/References

［1］ 马长生,刘兴鹏,颜红兵，等. 经导管射频消融治疗局灶性心房颤动［J］.中国心脏起搏与心电生理杂志,1999,13:197-200.

［2］ Petersen P. Thromboembolic complications in atrial fibrillation［J］. Stroke, 1990,21:4.

［3］ Roy D，Talajic M，Dorian P，et al. Amioldarone to prevent recurrence of atrial fibrillation. Canadian trial of atrial fibrillation investigators［J］. N Engl J Med，2000,342(13):913-918.

［4］ Koide Y, Yotsukura M, Sakata K, et al. Invesigatgation of the predictors of transition to persistent atrial fibrillation in patients with paroxysmal atrial fibrillation［J］. Clin Cardiol, 2002,25:69-74.

［5］ Tieleman RG，Gelder ICV，Crijns HJGM，et al. Early recurrences of atrial fibrillation after electrical cardioversion: A result of fibrillationinduced electrical remodeling of atria［J］? J Am Coll Cardiol, 1998,31:167-172.

［6］ Haissaguerre M, Shah DC, Jais P, et al. Electrophysiological breakthroughs from the left atrium to the pulmonary veins［J］. Corculation, 2000,102:2463-2469.

备注/Memo

备注/Memo:
收稿日期：2004-07-06.
更新日期/Last Update: 2010-01-05