实用心脑肺血管病杂志
實用心腦肺血管病雜誌
실용심뇌폐혈관병잡지
PRACTICAL JOURNAL OF CARDIAC CEREBRAL PNEUMAL AND VASCULAR DISEASE
2015年
5期
9-12
,共4页
急性冠脉综合征%心律失常,心性%超敏C反应蛋白%肿瘤坏死因子α%导管消融术,射频
急性冠脈綜閤徵%心律失常,心性%超敏C反應蛋白%腫瘤壞死因子α%導管消融術,射頻
급성관맥종합정%심률실상,심성%초민C반응단백%종류배사인자α%도관소융술,사빈
Acute coronary syndrome%Arrhythmia,cardiac%Hypersensitive C-reactive protein%Tumor necrosis factor α%Catheter ablation,radiofrequency
目的:探讨超敏C反应蛋白( hs-CRP)和肿瘤坏死因子α( TNF-α)对急性冠脉综合征( ACS)合并心律失常患者射频导管消融( RFCA)治疗效果的影响。方法选取武汉大学人民医院心内科2012年6月—2014年6月收治的ACS合并心律失常患者48例,均接受RFCA治疗,根据随访期间患者复发情况分为成功组32例和失败组16例。比较两组患者一般资料,术前及术后1、2、3个月心功能指标〔每搏输出量( SV)、心输出量( CO)、射血分数( EF)、左心室舒张早期/晚期速度峰值比值( VA/VE)〕及血浆hs-CRP、TNF-α水平,分析基线血浆hs-CRP及TNF-α水平与心功能的关系。结果术前及术后1、2、3个月成功组患者SV、CO、EF高于失败组,而VA/VE低于失败组(P<0.05)。术前及术后1、2、3个月成功组患者血浆hs-CRP及TNF-α水平均低于失败组(P<0.05)。Pearson相关分析显示,基线血浆hs-CRP水平与CO、EF呈负相关(r值分别为-0.325、-0.318,P<0.05),基线血浆TNF-α水平与CO、EF呈负相关(r值分别为-0.369、-0.342,P<0.05)。结论术前血浆hs-CRP及TNF-α水平较高的ACS合并心律失常患者CO、EF较低,患者复发的可能性较大。术前有效控制ACS合并心律失常患者血浆hs-CRP、TNF-α水平有助于提高RFCA治疗成功率。
目的:探討超敏C反應蛋白( hs-CRP)和腫瘤壞死因子α( TNF-α)對急性冠脈綜閤徵( ACS)閤併心律失常患者射頻導管消融( RFCA)治療效果的影響。方法選取武漢大學人民醫院心內科2012年6月—2014年6月收治的ACS閤併心律失常患者48例,均接受RFCA治療,根據隨訪期間患者複髮情況分為成功組32例和失敗組16例。比較兩組患者一般資料,術前及術後1、2、3箇月心功能指標〔每搏輸齣量( SV)、心輸齣量( CO)、射血分數( EF)、左心室舒張早期/晚期速度峰值比值( VA/VE)〕及血漿hs-CRP、TNF-α水平,分析基線血漿hs-CRP及TNF-α水平與心功能的關繫。結果術前及術後1、2、3箇月成功組患者SV、CO、EF高于失敗組,而VA/VE低于失敗組(P<0.05)。術前及術後1、2、3箇月成功組患者血漿hs-CRP及TNF-α水平均低于失敗組(P<0.05)。Pearson相關分析顯示,基線血漿hs-CRP水平與CO、EF呈負相關(r值分彆為-0.325、-0.318,P<0.05),基線血漿TNF-α水平與CO、EF呈負相關(r值分彆為-0.369、-0.342,P<0.05)。結論術前血漿hs-CRP及TNF-α水平較高的ACS閤併心律失常患者CO、EF較低,患者複髮的可能性較大。術前有效控製ACS閤併心律失常患者血漿hs-CRP、TNF-α水平有助于提高RFCA治療成功率。
목적:탐토초민C반응단백( hs-CRP)화종류배사인자α( TNF-α)대급성관맥종합정( ACS)합병심률실상환자사빈도관소융( RFCA)치료효과적영향。방법선취무한대학인민의원심내과2012년6월—2014년6월수치적ACS합병심률실상환자48례,균접수RFCA치료,근거수방기간환자복발정황분위성공조32례화실패조16례。비교량조환자일반자료,술전급술후1、2、3개월심공능지표〔매박수출량( SV)、심수출량( CO)、사혈분수( EF)、좌심실서장조기/만기속도봉치비치( VA/VE)〕급혈장hs-CRP、TNF-α수평,분석기선혈장hs-CRP급TNF-α수평여심공능적관계。결과술전급술후1、2、3개월성공조환자SV、CO、EF고우실패조,이VA/VE저우실패조(P<0.05)。술전급술후1、2、3개월성공조환자혈장hs-CRP급TNF-α수평균저우실패조(P<0.05)。Pearson상관분석현시,기선혈장hs-CRP수평여CO、EF정부상관(r치분별위-0.325、-0.318,P<0.05),기선혈장TNF-α수평여CO、EF정부상관(r치분별위-0.369、-0.342,P<0.05)。결론술전혈장hs-CRP급TNF-α수평교고적ACS합병심률실상환자CO、EF교저,환자복발적가능성교대。술전유효공제ACS합병심률실상환자혈장hs-CRP、TNF-α수평유조우제고RFCA치료성공솔。
Objective To investigate the impact of hs-CRP and TNF-α on treatment outcome of radiofrequency catheter ablation( RFCA) in acute coronary syndrome( ACS) patients complicated with arrhythmia. Methods From June 2012 to June 2014,a total of 48 ACS patients complicated with arrhythmia were selected in the Department of Cardiovascular Surgery,People's Hospital of Wuhan University,all of them received RFCA and then were followed up,and they were divided into A group(with successful treatment outcome,n=32)and B group(with failed treatment outcome,n=16)according to the recurrence. General information,cardiac function index including SV,CO,EF,VA/VE and serum levels of hs-CRP and TNF- α before operation and after 1 month,2 months,3 months of operation were compared between the two groups;correlations between serum levels of hs-CRP,TNF-αand cardiac function were analyzed. Results Before operation and after 1 month,2 months,3 months of operation, SV, CO, EF of A group were statistically significantly higher than those of B group,while VA/VE,serum levels of hs-CRP and TNF-α were statistically significantly lower than those of B group( P<0. 05). Pearson correlation analysis showed that,baseline serum hs-CRP level was respectively negatively correlated with CO and EF(r= -0. 325,-0. 318,P<0. 05),and so was baseline serum TNF-αlevel(r= -0. 369,-0. 342,P<0. 05). Conclusion With baseline serum levels of hs -CRP and TNF -α increased before operation, CO and EF of ACS patients complicated with arrhythmia decreased,recurrence risk increased,and effectively control of serum levels of hs-CRP and TNF-α before operation is helpful to improve the successful rate of RFCA.