心脑血管病防治
心腦血管病防治
심뇌혈관병방치
PREVENTION AND TREATMENT OF CARDIO-CEREBRAL-VASCULAR DISEASE
2014年
2期
108-110
,共3页
心房颤动%环肺静脉电隔离%三磷酸腺苷
心房顫動%環肺靜脈電隔離%三燐痠腺苷
심방전동%배폐정맥전격리%삼린산선감
Atrial fibrillation%Circumferential pulmonary vein isolation%Adenosine triphosphate
目的探讨三磷酸腺苷（ATP）对阵发性心房颤动患者环肺静脉电隔离（CPVI）术后左房-肺静脉电传导恢复的影响。方法75例阵发性心房颤动患者在完成消融术后两次给予三磷酸腺苷诱导肺静脉电传导恢复，对肺静脉电位恢复者补充消融重新到达肺静脉隔离。另有对照组84例阵发性心房颤动患者常规完成消融术后不做诱导试验。比较两组患者心房颤动术后复发率。结果试验组心房颤动复发率21.33％，对照组心房颤动复发率30.95％，差异有统计学意义（ P＜0.05）。结论补充消融三磷酸腺苷“暴露”的肺静脉电传导间隙，可减少阵发性心房颤动的复发率。
目的探討三燐痠腺苷（ATP）對陣髮性心房顫動患者環肺靜脈電隔離（CPVI）術後左房-肺靜脈電傳導恢複的影響。方法75例陣髮性心房顫動患者在完成消融術後兩次給予三燐痠腺苷誘導肺靜脈電傳導恢複，對肺靜脈電位恢複者補充消融重新到達肺靜脈隔離。另有對照組84例陣髮性心房顫動患者常規完成消融術後不做誘導試驗。比較兩組患者心房顫動術後複髮率。結果試驗組心房顫動複髮率21.33％，對照組心房顫動複髮率30.95％，差異有統計學意義（ P＜0.05）。結論補充消融三燐痠腺苷“暴露”的肺靜脈電傳導間隙，可減少陣髮性心房顫動的複髮率。
목적탐토삼린산선감（ATP）대진발성심방전동환자배폐정맥전격리（CPVI）술후좌방-폐정맥전전도회복적영향。방법75례진발성심방전동환자재완성소융술후량차급여삼린산선감유도폐정맥전전도회복，대폐정맥전위회복자보충소융중신도체폐정맥격리。령유대조조84례진발성심방전동환자상규완성소융술후불주유도시험。비교량조환자심방전동술후복발솔。결과시험조심방전동복발솔21.33％，대조조심방전동복발솔30.95％，차이유통계학의의（ P＜0.05）。결론보충소융삼린산선감“폭로”적폐정맥전전도간극，가감소진발성심방전동적복발솔。
Objective To explore the effects of adenosine triphosphate on recovered left atrium_pulmonary veins conduction after cir-cumferential pulmonary vein isolation (CPVI) for paroxysmal atrial fibrillation.Methods Adenosine triphosphate was injected twice to 75 patients with paroxysmal atrial fibrillation after CPVI in order to induce pulmonary vein conduction recovery.If pulmonary vein po-tential had recovered ,ablation was carried out to reach pulmonary vein isolation again .84 patients with paroxysmal atrial fibrillation after CPVI considered as control group had not been induced.Recurrence rate of atrial fibrillation of two groups were compared.Re-sults Recurrence rates of atrial fibrillation of test group and control group were 21.33% and 30.95% respectively ( P<0.05).Con-clusions Additional ablation for ATP_induced pulmonary vein conduction gaps after CPVI can reduce recurrence rate of paroxysmal a-trial fibrillation.
