中华心律失常学杂志
中華心律失常學雜誌
중화심률실상학잡지
CHINESE JOURNAL OF CARDIAC ARRHYTHMIAS
2013年
1期
18-21
,共4页
孙国建%吴巧元%何浪%刘元伟%沈法荣
孫國建%吳巧元%何浪%劉元偉%瀋法榮
손국건%오교원%하랑%류원위%침법영
植入型心律转复除颤器%心脏再同步治疗除颤器%病死率%死亡原因
植入型心律轉複除顫器%心髒再同步治療除顫器%病死率%死亡原因
식입형심률전복제전기%심장재동보치료제전기%병사솔%사망원인
Implantable cardioverter defibrillator%Cardiac resynchronization therapy defibrillator%Mortality%Cause of death
目的 分析植入型心律转复除颤器(ICD)及心脏再同步除颤器(CRT-D)患者的死亡原因.方法 将2001年1月至2011年12月在浙江医院植入ICD及CRT-D的所有患者分为3组:ICD一级预防组,ICD二级预防组及CRT-D组.分析在随访过程中所有死亡患者的死亡原因.主要死亡原因设置为:心力衰竭死亡、其他心脏原因死亡、非心脏原因死亡、猝死及不知原因死亡.结果 共有289例患者植入ICD或CRT-D,ICD一级预防51例,二级预防107例,CRT-D 131例.平均随访(4.6±2.5)年,死亡54例,其中ICD一级预防有5例(9.8％)患者死亡,ICD二级预防20例(18.7％)患者死亡,CRT-D组29例(22.1％)患者死亡.10年累计所有原因病死率为18.7％.心力衰竭性死亡25例(46.3％),非心脏原因死亡19例(35.2％),有3例(5.6％)患者猝死.结论 在植入ICD或CRT-D的所有患者中,心力衰竭死亡及非心脏原因死亡是最常见的死亡原因.猝死在死亡患者中的比例较低.
目的 分析植入型心律轉複除顫器(ICD)及心髒再同步除顫器(CRT-D)患者的死亡原因.方法 將2001年1月至2011年12月在浙江醫院植入ICD及CRT-D的所有患者分為3組:ICD一級預防組,ICD二級預防組及CRT-D組.分析在隨訪過程中所有死亡患者的死亡原因.主要死亡原因設置為:心力衰竭死亡、其他心髒原因死亡、非心髒原因死亡、猝死及不知原因死亡.結果 共有289例患者植入ICD或CRT-D,ICD一級預防51例,二級預防107例,CRT-D 131例.平均隨訪(4.6±2.5)年,死亡54例,其中ICD一級預防有5例(9.8％)患者死亡,ICD二級預防20例(18.7％)患者死亡,CRT-D組29例(22.1％)患者死亡.10年纍計所有原因病死率為18.7％.心力衰竭性死亡25例(46.3％),非心髒原因死亡19例(35.2％),有3例(5.6％)患者猝死.結論 在植入ICD或CRT-D的所有患者中,心力衰竭死亡及非心髒原因死亡是最常見的死亡原因.猝死在死亡患者中的比例較低.
목적 분석식입형심률전복제전기(ICD)급심장재동보제전기(CRT-D)환자적사망원인.방법 장2001년1월지2011년12월재절강의원식입ICD급CRT-D적소유환자분위3조:ICD일급예방조,ICD이급예방조급CRT-D조.분석재수방과정중소유사망환자적사망원인.주요사망원인설치위:심력쇠갈사망、기타심장원인사망、비심장원인사망、졸사급불지원인사망.결과 공유289례환자식입ICD혹CRT-D,ICD일급예방51례,이급예방107례,CRT-D 131례.평균수방(4.6±2.5)년,사망54례,기중ICD일급예방유5례(9.8％)환자사망,ICD이급예방20례(18.7％)환자사망,CRT-D조29례(22.1％)환자사망.10년루계소유원인병사솔위18.7％.심력쇠갈성사망25례(46.3％),비심장원인사망19례(35.2％),유3례(5.6％)환자졸사.결론 재식입ICD혹CRT-D적소유환자중,심력쇠갈사망급비심장원인사망시최상견적사망원인.졸사재사망환자중적비례교저.
Objective To analyse the causes of death in patients with implantable cardioverterdefibrillator(ICD) and cardiac resynchronization therapy defibrillator(CRT-D).Methods From Jan.2001 to Dec.2011 all patients with ICD and CRT-D in Zhejiang hospital were included.All patients were divided into three groups:primary prevention ICD group,secondary prevention ICD group,and CRT-D group.Patients who died during follow-up period were retrieved.The causes of death included heart failure,other cardiac death,non-cardiac death,sudden death,and unknown cause of death.Results A total of 289 patients were included:51 primary prevention ICD,107 secondary prevention ICD,and 131CRTD.Average follow-up period was(4.6±2.5)years.Five patients (9.8％) with primary prevention ICD,20patients (18.7 ％)with secondary prevention ICD,and 29 patients(22.1％)with CRT-D died.The 10-year cumulative incidence of all-cause mortality was 18.7％.There were 25 (46.3％) patients died from heart failure,19 (35.2％) non-cardiac reason,and 3 (5.6％) patients were sudden death.Conclusion Heart failure and non-cadiac death were the most common causes of death; incidence of sudden death was low.
