CAJ | 학술논문

目的探讨射频消融治疗老年人阵发性室上性心动过速(PSVT)的时机及其临床疗效.方法回顾性分析接受射频消融治疗的45例老年PSVT患者临床资料,记录心脑血管疾病发生率、PSVT病程及发作频率、患者不得不接受射频消融治疗的原因、电生理检查及射频消融治疗的效果.结果 PSVT发作持续时间和发作频率与病程呈正相关,老年PSVT患者合并严重心血管疾病者28.89％.一次射频消融治疗的成功率为100％,术后复发率为4.4％.结论建议老年PSVT患者及早接受射频消融治疗.
목적 탐토사빈소융치료노년인진발성실상성심동과속(PSVT)적시궤급기림상료효.방법 회고성분석접수사빈소융치료적45례노년PSVT환자림상자료,기록심뇌혈관질병발생솔、PSVT병정급발작빈솔、환자불득불접수사빈소융치료적원인、전생리검사급사빈소융치료적효과.결과 PSVT발작지속시간화발작빈솔여병정정정상관,노년PSVT환자합병엄중심혈관질병자28.89％.일차사빈소융치료적성공솔위100％,술후복발솔위4.4％.결론 건의노년PSVT환자급조접수사빈소융치료.
Objective To explore the clinical pathological data of the elderly patients with paroxysmal supraventricular tachycardia(PSVT) and the timing of the radiofrequency ablation treatment for PSVT and its clinical efficacy.Methods The clinical pathological data of 45 elderly patients with PSVT for radiofrequency ablation were retrospectivly analyzed,and the information of cardiovascular and cerebrovascular diseases,the duration of PSVT and frequency of attacks,the reason of patients had to accept radiofrequency catheter ablation,the treatment effective of electrophysiological study and radiofrequency ablation were recorded.Results The duration and frequency of attacks with PSVT were positively related with pathogenesis in the elderly patients.Elderly PSVT patients with severe cardiovascular disease accounted for 28.89％.The first radiofrequency ablation treatment success rate was 100％ in this research and the recurrence rate was 4.4％.Conclusion It is recommended that elderly PSVT patients early access to the radiofrequency ablation.