岭南心血管病杂志
嶺南心血管病雜誌
령남심혈관병잡지
SOUTH CHINA JOURNAL OF CARDIOLOGY
2009年
3期
195-197
,共3页
朱少辉%陈水意%伍彩英%戴海蓉
硃少輝%陳水意%伍綵英%戴海蓉
주소휘%진수의%오채영%대해용
心动过速,室上性%导管消融术%心律失常%心电描记术%儿童
心動過速,室上性%導管消融術%心律失常%心電描記術%兒童
심동과속,실상성%도관소융술%심률실상%심전묘기술%인동
supraventficular tachycardia%radiofrequency catheter ablation%arrhythmia%dynamic electrocardiogram%children
目的 探讨小儿室上性心动过速经导管射频消融术(radiofrequency catheter ablation,RFCA)治疗后近期和远期的心律失常情况.方法 回顾性分析105例行RFCA治疗的室上性心动过速患儿的动态心电图资料,对其术后的心律失常情况进行分析.结果 105例患儿术后1 d～3 d内有2例房性心动过速复发,发生率1.9%(2/105),其他各种类型的心律失常有:传导阻滞15例,发生率14.3%(15/105),包括9例(Ⅰ度5例、Ⅱ度4例)房室传导阻滞(atrioventricular block,AVB),5例完全性右束支传导阻滞,1例窦房传导阻滞;6例游走心律,3例间歇预激,3例心肌缺血.21例患儿于术后近期和远期共行47例次动态心电图检查,其中12例大致正常,2例复发的房性心动过速于远期消失,4例窦房或AVB消失,1例频发AVB变为偶发,2例新发Ⅰ度或Ⅱ度AVB.结论 射频消融术治疗小儿室上性心动过速安全有效,复发率低.术后注意可能发生传导阻滞、心肌缺血等.多数传导阻滞于术后远期会有改善,但也需注意迟发性传导阻滞的发生.
目的 探討小兒室上性心動過速經導管射頻消融術(radiofrequency catheter ablation,RFCA)治療後近期和遠期的心律失常情況.方法 迴顧性分析105例行RFCA治療的室上性心動過速患兒的動態心電圖資料,對其術後的心律失常情況進行分析.結果 105例患兒術後1 d～3 d內有2例房性心動過速複髮,髮生率1.9%(2/105),其他各種類型的心律失常有:傳導阻滯15例,髮生率14.3%(15/105),包括9例(Ⅰ度5例、Ⅱ度4例)房室傳導阻滯(atrioventricular block,AVB),5例完全性右束支傳導阻滯,1例竇房傳導阻滯;6例遊走心律,3例間歇預激,3例心肌缺血.21例患兒于術後近期和遠期共行47例次動態心電圖檢查,其中12例大緻正常,2例複髮的房性心動過速于遠期消失,4例竇房或AVB消失,1例頻髮AVB變為偶髮,2例新髮Ⅰ度或Ⅱ度AVB.結論 射頻消融術治療小兒室上性心動過速安全有效,複髮率低.術後註意可能髮生傳導阻滯、心肌缺血等.多數傳導阻滯于術後遠期會有改善,但也需註意遲髮性傳導阻滯的髮生.
목적 탐토소인실상성심동과속경도관사빈소융술(radiofrequency catheter ablation,RFCA)치료후근기화원기적심률실상정황.방법 회고성분석105례행RFCA치료적실상성심동과속환인적동태심전도자료,대기술후적심률실상정황진행분석.결과 105례환인술후1 d～3 d내유2례방성심동과속복발,발생솔1.9%(2/105),기타각충류형적심률실상유:전도조체15례,발생솔14.3%(15/105),포괄9례(Ⅰ도5례、Ⅱ도4례)방실전도조체(atrioventricular block,AVB),5례완전성우속지전도조체,1례두방전도조체;6례유주심률,3례간헐예격,3례심기결혈.21례환인우술후근기화원기공행47례차동태심전도검사,기중12례대치정상,2례복발적방성심동과속우원기소실,4례두방혹AVB소실,1례빈발AVB변위우발,2례신발Ⅰ도혹Ⅱ도AVB.결론 사빈소융술치료소인실상성심동과속안전유효,복발솔저.술후주의가능발생전도조체、심기결혈등.다수전도조체우술후원기회유개선,단야수주의지발성전도조체적발생.
Objectives To analyze the arrhythmia in short and long term after radiofrequency catheter ablation (RFCA) in children with supraventrieular tachyeardia (SVT). Methods Dynamic electrocardiogram (DCG) data of 105 SVT children who underwent RFCA therapy was collected, and arrhythmia after RFCA was retrospectively analyzed. Results Two atrial tachycardia (AT) recurrence was observed in 105 patients at 1 to 3 days after RFCA and the incidence was 1.9% (2/105). Besides recurrent AT, other arrhythmia included 15 conduction block with the incidence was 14.3% (15/105) consisting of 9 atrioventricular block (AVB) , 5 complete right bundle branch block and 1 sinoatrial block; and 6 wandering rhythm, 3 intermittent pre-excitation and 3 myocardial isehemia. Forty-seven times of DCG examination were performed for 21 SVT children in short and long term after RFCA. Twelve cases showed almost normal, 2 recurrent AT vanished in long term post RFCA, 4 sinoatrial block and AVB disappeared, and 1 AVB turned from frequent to aceasional. However, two de novo AVB was observed in long term post RFCA. Conclusions RFCA therapy is safe and effective with low recurrence in children. Conduction block and myocardial ischemia should be considered "after RFCA. Most conduction block improves in the long term, while de novo late conduction block should be carefully observed.
