全军心律失常介入治疗资料总汇

发布时间：2018-06-12 08:45

本文选题：心血管病学 + 心律失常　；参考：《中国心脏起搏与心电生理杂志》2008年05期

【摘要】：目的汇总分析全军心律失常介入治疗资料,了解此领域工作的现状与不足。方法由全军心血管内科专业委员会组织对2005年1月1日至2006年12月31日期间全军医疗单位心律失常介入治疗资料进行注册登记和统计分析。结果①此次注册共收到全军40家医院共9 934例注册资料。开展射频消融(RFCA)工作的医院共33家,注册病例数6 242例,其中开展三维标测技术治疗快速心律失常的医院有9家,病例数达180例;开展心脏器械置入治疗工作的医院共39家,病例数3 656例。②6 242例RFCA注册资料总成功率97.45%,复发率2.12%,并发症发生率0.54%。各类心律失常中,房室折返性心动过速(AVRT)最多,房室结折返性心动过速(AVNRT)次之,AVRT和AVNRT成功率始终保持在较高的水平,而心房颤动(AF)的复发率最高。34例并发症中血管并发症和完全性房室传导阻滞占绝大部分。③多家单位开展了新型三维标测系统治疗复杂快速性心律失常。180例注册病例中,AF最多、共110例(61.11%),成功率99.09%,复发率24.55%;非特发性室性心动过速(non-IVT)次之、共26例(14.44%),成功率88.46%,复发率8.33%;其余类型心律失常完成例数较少。④3 656例心脏器械置入病例总成功率99.92%(3 653/3 656),并发症发生率1.94%(71/3 653)。在各种器械置入适应证中,病窦综合征占最大比例,其次为房室传导阻滞。双腔起搏比例远超过心室单腔起搏。三腔双心室起搏器及埋藏式心脏转复除颤器的临床应用尚较少。结论全军心律失常介入治疗发展迅速。
[Abstract]:Objective to summarize and analyze the data of interventional therapy of arrhythmia in the whole army, and to understand the present situation and deficiency of this field. Methods from January 1, 2005 to December 31, 2006, the data of interventional therapy of arrhythmia in military medical units were registered and statistically analyzed. Results 1 A total of 9 934 cases were registered in 40 hospitals. A total of 33 hospitals with 6 242 registered cases were involved in the work of radiofrequency catheter ablation (RFCA), among which 9 hospitals (180 cases) were involved in the treatment of tachyarrhythmia with three-dimensional mapping, and 39 hospitals were engaged in the treatment of cardiac instruments. The total success rate of RFCA registration data was 97.455.The recurrence rate was 2.12 and the complication rate was 0.54. Among all kinds of arrhythmias, AVRTs of atrioventricular reentrant tachycardia (AVRTT) were the most, and AVNRTs of atrioventricular nodal reentrant tachycardia (AVNRTT) followed by AVNRT (AVNRT), the success rates of AVRT and AVNRT remained at a higher level. Among the 34 cases of complications, vascular complications and complete atrioventricular block (AVB) accounted for most of the total number of patients who developed a new three-dimensional mapping system for the treatment of complex tachyarrhythmia. The success rate was 99.09, the recurrence rate was 24.55 and non-idiopathic ventricular tachycardia was the second. A total of 26 cases (88.46%) were involved in this study, and the recurrence rate was 8.33%. The total success rate of cardiac device implantation was 99.92% 3 653% 3 656%, and the incidence of complications was 1 94 / 3 63%. Among the indications, sinus syndrome was the largest, followed by atrioventricular block. The ratio of double chamber pacing is much higher than that of single ventricular pacing. The clinical application of three-chamber biventricular pacemaker and implantable cardioverter defibrillator is few. Conclusion Interventional therapy of arrhythmia is developing rapidly in the whole army.
【作者单位】：全军心血管内科专业委员会;第四军医大学唐都医院心血管内科;
【分类号】：R82

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