慢性心力衰竭患者心脏再同步化治疗应答反应的影响因素分析

发布时间：2018-06-01 20:17

本文选题：慢性心力衰竭 + 心脏再同步化治疗　；参考：《中西医结合心血管病电子杂志》2018年04期

【摘要】：目的研究慢性心力衰竭患者心脏再同步化治疗(CRT)应答反应的影响因素。方法以CRT治疗的50例慢性心力衰竭患者为研究对象,总结患者治疗结果,分析其中CRT应答患者与CRT不应答患者的差异,总结慢性心力衰竭患者CRT治疗后应答反应的影响因素。结果本组50例患者中应答者35例、无应答者15例。应答者中缺血性心肌病5例(14.3%)、扩张性心肌病30例(85.7%)、电轴左偏11例(31.4%)、FQRS波21例(60.0%),与无应答者相比存在统计学意义(P0.05)。应答者与无应答者在LA、LVESD、心房感知比例上亦存在统计学意义(P0.05)。缺血性心肌病、LA、电轴左偏、FQRS波、心房感知比例均是慢性心力衰竭患者应答反应的独立因素。结论慢性心力衰竭患者术前是否为缺血性心肌病及是否存在左房内径增大、电轴左偏、FQRS波、心房感知比例降低等,均是影响其心脏再同步化治疗应答的重要因素。
[Abstract]:Objective to study the influencing factors of cardiac resynchronization therapy (CRT) response in patients with chronic heart failure (CHF). Methods 50 patients with chronic heart failure treated with CRT were studied. The results of the treatment were summarized, the difference between the patients with CRT response and those without CRT was analyzed, and the influencing factors of the response after CRT treatment in patients with chronic heart failure were summarized. Results there were 35 cases of response and 15 cases of non-response in 50 cases. Among the respondents, 5 cases were ischemic cardiomyopathy, 30 cases were dilated cardiomyopathy, and 11 cases had left axis deviation. There was also a statistically significant difference in the rate of atrial perception between respondents and non-responders in LVESDs (P 0.05). Ischemic cardiomyopathy, left axis bias FQRS wave, atrial perception ratio are independent factors of response in patients with chronic heart failure. Conclusion whether the patients with chronic heart failure are ischemic cardiomyopathy before operation, whether the left atrial diameter increases, the left axis deviate FQRS wave, and the ratio of atrial perception decrease are the important factors that affect the response of cardiac resynchronization therapy.
【作者单位】：安徽医科大学第二附属医院心血管内科;
【分类号】：R541.6

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