您的位置: 首页 > 2015年9月 第46卷 第5期 > 文字全文
2023年7月 第38卷 第7期11
目录

阵发性房颤环肺静脉电隔离术治疗对左心房结构和功能的影响

Influence of Treatment in Paroxysmal Arterial Fibrillation by Circumferential Pulmonary Vein Isolation to Structure and Function of Left Atrium

来源期刊: 广州医药 | 56-57 发布时间:2021-11-30 收稿时间:2025/11/13 16:42:03 阅读量:16
作者:
关键词:
心房颤动环肺静脉电隔离术心房功能超声心动图
DOI:
10.3969/j.issn.1000-8535.2015.05.019
收稿时间:
2015-02-17 
修订日期:
 
接收日期:
 
引用总数:
0  
目的 观察阵发性房颤(PAF)环肺静脉电隔离术(CPVI术)治疗对左心房结构和功能的影响。方法 对63例PAF患者行CPVI术,超声心动图测定术前及术后3天、6个月时左心房内径(LAD)、左心房面积(LAA) 、左心房最大容积(LAVmax)、收缩期前容积(LAVp)、最小容积(LAVmin),测量二尖瓣血流频谱A峰流速(VA)、左心房被动射血分数(LAPEF)、主动射血分数(LAAEF)、扩张指数 (LaexpI)。结果 63例患者中54例于术后6个月时仍维持窦性心律,维持窦性心律者 LAD、LAA、LAVmax、LAVp、LAVmin对比术前减小 (P<0.05); VA、LAAEF术后3天降低(P<0.05),6个月对比术前无变化(P>0.05); LaexpI、LAPEF术后3天及6个月时均无改变(P>0.05)。结论 阵发性房颤环肺静脉电隔离术后左心房结构逆重构,早期辅泵功能下降,6个月时左心房功能未受影响。
1、 林德仿.阵发性心房颤动患者射频消融术后心房颤动晚期复发的相关因素分析[J]. 现代医院,2014,14(12):47-50. 林德仿.阵发性心房颤动患者射频消融术后心房颤动晚期复发的相关因素分析[J]. 现代医院,2014,14(12):47-50.
2、 Casaclang-Verzosa G, Gersh BJ, Tsang TSM. Structural and functional remodeling of the left atrium: clinical and therapeutic implications for atrial fibrillation[J]. Journal of the American College of Cardiology, 2008, 51(1): 1-11. Casaclang-Verzosa G, Gersh BJ, Tsang TSM. Structural and functional remodeling of the left atrium: clinical and therapeutic implications for atrial fibrillation[J]. Journal of the American College of Cardiology, 2008, 51(1): 1-11.
3、 Khan IA. Atrial stunning: basics and clinical considerations[J]. International journal of cardiology, 2003, 92(2): 113-128. Khan IA. Atrial stunning: basics and clinical considerations[J]. International journal of cardiology, 2003, 92(2): 113-128.
4、 Langeland S, D'hooge J, Wouters PF, et al. Experimental validation of a new ultrasound method for the simultaneous assessment of radial and longitudinal myocardial deformation independent of insonation angle[J]. Circulation, 2005, 112(14): 2157-2162. Langeland S, D'hooge J, Wouters PF, et al. Experimental validation of a new ultrasound method for the simultaneous assessment of radial and longitudinal myocardial deformation independent of insonation angle[J]. Circulation, 2005, 112(14): 2157-2162.
5、 何佰永, 唐红. 超声心动图评价左房功能的研究进展 [J]. 心血管病学进展, 2010, 31(6): 828-831. 何佰永, 唐红. 超声心动图评价左房功能的研究进展 [J]. 心血管病学进展, 2010, 31(6): 828-831.
6、 Jayam VK, Dong J, Vasamreddy CR, et al. Atrial volume reduction following catheter ablation of atrial fibrillation and relation to reduction in pulmonary vein size: an evaluation using magnetic resonance angiography[J]. Journal of Interventional Cardiac Electrophysiology, 2005, 13(2): 107-114. Jayam VK, Dong J, Vasamreddy CR, et al. Atrial volume reduction following catheter ablation of atrial fibrillation and relation to reduction in pulmonary vein size: an evaluation using magnetic resonance angiography[J]. Journal of Interventional Cardiac Electrophysiology, 2005, 13(2): 107-114.
7、 金佳美, 张宇辉, 陈明, 等. 实时三维超声心动图评价不同房颤消融术式对左心房功能的影响[J]. 中国医学影像学杂志, 2013, 21(3): 193-196. 金佳美, 张宇辉, 陈明, 等. 实时三维超声心动图评价不同房颤消融术式对左心房功能的影响[J]. 中国医学影像学杂志, 2013, 21(3): 193-196.
8、 Lindgren KS, Raatikainen MJP, Airaksinen KEJ, et al. Relationship between the frequency of paroxysmal episodes of atrial fibrillation and pulmonary venous flow pattern[J]. Europace, 2003, 5(1): 17-23. Lindgren KS, Raatikainen MJP, Airaksinen KEJ, et al. Relationship between the frequency of paroxysmal episodes of atrial fibrillation and pulmonary venous flow pattern[J]. Europace, 2003, 5(1): 17-23.
9、 Ouyang F, Tilz R, Chun J, et al. Long-term results of catheter ablation in paroxysmal atrial fibrillation lessons from a 5-year follow-up[J]. Circulation, 2010, 122(23): 2368-2377. Ouyang F, Tilz R, Chun J, et al. Long-term results of catheter ablation in paroxysmal atrial fibrillation lessons from a 5-year follow-up[J]. Circulation, 2010, 122(23): 2368-2377.
10、 Pappone C, Santinelli V, Manguso F, et al. Pulmonary vein denervation enhances long-term benefit after circumferential ablation for paroxysmal atrial fibrillation[J]. Circulation, 2004, 109(3): 327-334. Pappone C, Santinelli V, Manguso F, et al. Pulmonary vein denervation enhances long-term benefit after circumferential ablation for paroxysmal atrial fibrillation[J]. Circulation, 2004, 109(3): 327-334.
11、 Mugnai G, Chierchia G B, de Asmundis C, et al.comparison of pulmonary vein isolation using cryoballoon versus conventional radiofrequency for paroxysmal atrial fibrillation[J]. The American journal of cardiology, 2014, 113(9): 1509-1513. Mugnai G, Chierchia G B, de Asmundis C, et al.comparison of pulmonary vein isolation using cryoballoon versus conventional radiofrequency for paroxysmal atrial fibrillation[J]. The American journal of cardiology, 2014, 113(9): 1509-1513.
12、 谢春艳,邹敏. NLR在心血管疾病诊治中的临床应用价值[J]. 广州医药,2014,45(6):50-52. 谢春艳,邹敏. NLR在心血管疾病诊治中的临床应用价值[J]. 广州医药,2014,45(6):50-52.
上一篇
下一篇
出版者信息








《广州医药》公众号
目录