心电与循环
心電與循環
심전여순배
Journal of Electrocardiology(China)
2013年
3期
185-187
,共3页
王丽娟%钟诚%刘元伟%孙国建%沈法荣
王麗娟%鐘誠%劉元偉%孫國建%瀋法榮
왕려연%종성%류원위%손국건%침법영
慢性心力衰竭%肾动脉交感神经%消融
慢性心力衰竭%腎動脈交感神經%消融
만성심력쇠갈%신동맥교감신경%소융
Chronic heart failure%Renal sympathetic%Denervation ablation
目的观察肾动脉交感神经消融术对心力衰竭患者的疗效及安全性.方法共入选4例扩张型心肌病慢性心力衰竭患者,予以双侧肾动脉交感神经消融术.随访7~9个月,观察术后患者心功能变化.结果血压和心率未见明显变化,血常规、肝肾功能未见明显变化,左心室舒张收缩末期大小、左心房前后径未见明显变化,左心室射血分数有改善,6min步行明显提高.结论慢性心力衰竭患者肾动脉交感神经消融术后心功能可能有改善,未见明显并发症.
目的觀察腎動脈交感神經消融術對心力衰竭患者的療效及安全性.方法共入選4例擴張型心肌病慢性心力衰竭患者,予以雙側腎動脈交感神經消融術.隨訪7~9箇月,觀察術後患者心功能變化.結果血壓和心率未見明顯變化,血常規、肝腎功能未見明顯變化,左心室舒張收縮末期大小、左心房前後徑未見明顯變化,左心室射血分數有改善,6min步行明顯提高.結論慢性心力衰竭患者腎動脈交感神經消融術後心功能可能有改善,未見明顯併髮癥.
목적관찰신동맥교감신경소융술대심력쇠갈환자적료효급안전성.방법공입선4례확장형심기병만성심력쇠갈환자,여이쌍측신동맥교감신경소융술.수방7~9개월,관찰술후환자심공능변화.결과혈압화심솔미견명현변화,혈상규、간신공능미견명현변화,좌심실서장수축말기대소、좌심방전후경미견명현변화,좌심실사혈분수유개선,6min보행명현제고.결론만성심력쇠갈환자신동맥교감신경소융술후심공능가능유개선,미견명현병발증.
Objective To investigate safety and efficacy of renal sympathetic denervation in patients with systolic heart failure. Methods 4 patients with dilated cardiomyopathy and chronic systolic heart failure underwent bilateral re-nal denervation. Heart function was evaluated during 7~9 months' fol ow-up. Results There was no significant change of blood pressure, heart rate, blood routine examination, liver and renal function, left ventricular end-diastolic and end-systolic dimension, and left atrium size. The left ventricle ejection fraction increased and six-minute walk distance improved obviously. Conclusion Heart function of patients with chronic systolic heart failure may improved after renal sympathetic denervation without serious complication.