|本期目录/Table of Contents|

[1]熊丹群,陈治松,徐文俊,等.肺静脉隔离术对阵发性心房颤动合并慢快综合征患者窦房结功能的影响[J].国际心血管病杂志,2016,03:179-182.
 XIONG Danqun,CHEN Zhisong,XU Wenjun,et al.Impact of pulmonary vein isolation on the sinus node function in patients with paroxysmal atrial fibrillation and brady-tachy arrhythmia syndrome[J].International Journal of Cardiovascular Disease,2016,03:179-182.
点击复制

肺静脉隔离术对阵发性心房颤动合并慢快综合征患者窦房结功能的影响(PDF)

《国际心血管病杂志》[ISSN:1006-6977/CN:61-1281/TN]

期数:
2016年03期
页码:
179-182
栏目:
临床研究
出版日期:
2016-05-20

文章信息/Info

Title:
Impact of pulmonary vein isolation on the sinus node function in patients with paroxysmal atrial fibrillation and brady-tachy arrhythmia syndrome
作者:
熊丹群陈治松徐文俊顾剑云胡朝晖方宏
200065 上海,同济大学附属同济医院心内科
Author(s):
XIONG Danqun CHEN Zhisong XU Wenjun GU Jianyun HU Zhaohui FANG Hong.
Department of Cardiology, Tongji Hospital,Tongji University, Shanghai 20065,China
关键词:
肺静脉隔离术阵发性心房颤动窦房结功能心率变异性
Keywords:
Pulmonary vein isolation Paroxysmal atrial fibrillation Sinus node function Heart rate variability
分类号:
-
DOI:
10.3969/j.issn.1673-6583.2016.03.014
文献标识码:
-
摘要:
目的:探讨肺静脉隔离术对阵发性心房颤动(房颤)合并慢快综合征患者窦房结功能的影响。方法:入选于我院行肺静脉隔离术的阵发性房颤合并窦房结功能障碍的患者[校正的窦房结恢复时间(CSNRT)≥550ms],共31例。所有患者于术前、术后2d及术后6个月进行24h动态心电图检查,测定平均心率、最慢心率及最快心率,测定心率变异性指标rMSSD、SDNN,并于术后6个月采用食管调搏的方法测定CSNRT,比较手术前后各项指标的变化。结果:与术前相比,患者术后2d及术后6个月的平均心率、最慢心率及最快心率均有明显上升(<
Abstract:
Objective:To study the impact of pulmonary vein isolation on the sinus node function in patients with paroxysmal atrial fibrillation and brady-tachy arrhythmia syndrome.Methods:A total of 31 patients with paroxysmal atrial fibrillation and brady-tachy arr

参考文献/References

[1] Ohkubo K, Watanabe I, Okumura Y, et al. Pulmonary vein isolation for atrial fibrillation in patients with paroxysmal atrial fibrillation and prolonged sinus pause[J]. Int Heart J,2007,48(2):247-252.
[2] 周自强,胡大一,陈 捷,等. 中国心房颤动现状的流行病学研究[J]. 中华内科杂志,2004, 43(7):491-494.
[3] Feinberg WM, Blackshear JL, Laupacis A, et al. Prevalence, age distribution, and gender of patients with atrial fibrillation.Analysis and implications[J]. Arch Intern Med,1995,155(5):469 -473.
[4] 叶 伟,张 卫,孔 烨,等.单双极射频消融改良迷宫术用于瓣膜病合并心房颤动的疗效[J].国际心血管病杂志,2014,41(3):202-205.
[5] Wilber DJ, Pappone C, Neuzil P, et al. Comparison of antiarrhythmic drug therapy and radiofrequency catheter ablation in patients with paroxysmal atrial fibrillation: a randomized controlled trial[J].JAMA,2010,303(4):333-340.
[6] 尚应方,梁兆光.房颤射频消融术的结果评估[J]. 国际心血管病杂志,2014,41(6):395-397.
[7] Gomes JA, Kang PS, Matheson M, et al.Coexistence of sick sinus rhythm and atrial flutter-fibrillation[J]. Circulation,1981,63(1): 80-86.
[8] Soga Y, Okabayashi H, Arai Y, et al. Up to 6-year follow-up after pulmonary vein isolation for persistent/permanent atrial fibrillation: importance of sinus node function[J]. J Thorac Cardiovasc Surg,2011,141(6):1455-1460.
[9] Hadian D, Zipes DP, Olgin JE, et al. Short-term rapid atrial pacing produces electrical remodeling of sinus node function in humans[J]. J Cardiovasc Electrophysiol,2002,13(6):584-586.
[10] Elvan A, Wylie K, Zipes DP. Pacing-induced chronic atrial fibrillation impairs sinus node function in dogs. Electrophysiological remodeling[J]. Circulation,1996,94(11):2953-2960.
[11] Yeh YH, Burstein B, Qi XY, et al. Funny current downregulation and sinus node dysfunction associated with atrial tachyarrhythmia[J]. Circulation,2009,119(12):1576-1585.
[12] Hocini M, Sanders P, Deisenhofer I, et al. Reverse remodeling of sinus node function after catheter ablation of atrial fibrillation in patients with prolonged sinus pauses[J]. Circulation,2003,108(10):1172-1175.
[13] Miyanaga S, Yamane T, Date T, et al. Impact of pulmonary vein isolation on the autonomic modulation in patients with paroxysmal atrial fibrillation and prolonged sinus pauses[J]. Europace,2009,11(5): 576-581.

备注/Memo

备注/Memo:
基金项目:上海市科委引导类项目(124119a000) 作者单位:200065 上海,同济大学附属同济医院心内科 通信作者:徐文俊,Email:13901788201@163.com
更新日期/Last Update: 2016-05-20