重症心功能不全的心脏再同步疗法
摘要
20％以上的慢性心功能不全患者存在室内传导阻滞。室内传导阻滞可造成心室收缩不协调、收缩效率下降，而后者是导致心功能不全及影响预后的主要因素。上世纪90年代初，为了纠正此类心室不同步，提出双室起搏疗法。因其有效性高，故以心脏再同步治疗（cardiac resynchronization therapy,CRT）的名称迅速普及，很快成为治疗重症心功能不全的重要方法之一。目前，CRT增加了除颤和各种监测功能，
出处
《现代实用医学》
2009年第2期182-184,共3页
Modern Practical Medicine
参考文献16
-
1松田直樹.CRT概論[M].兩室べ-スメ-カ-植ぇ込み手技のTips&Trick(安藤献児編).三輪書店,2006.
-
2Spragg DD, Leclercq C, Loghmani M, et al. Regional alterations in protein expression in the dyssynchronous failing heart[J]. Circulation, 2003,108(8):929-932.
-
3Bristow MR, Saxon LA, Boehmer J, et al. Cardiac-resynchronization therapy with or without an implantable defibrillator in advanced chronic heart failure[J]. N Engl J Med,2004,350(21):2140-2150.
-
4Cleland JG, Daubert JC, Erdmann E, et al. The effect of cardiac resynchronization on morbidity and mortality in heart failure[J]. N Engl J Med,2005,352(15):1539-1549.
-
5Abraham WT, Young JB, Leon AR, et al. Effects of cardiac resynchronization on disease progression in patients with left ventricular systolic dysfunction, an indication for an implantable cardioverter-defibrillator, and mildly symptomatic chronic heart failure[J]. Circulation,2004,110( 18):2864-2868.
-
6McAlister FA, Ezekowitz J, Hooton N, et al. Cardiac resynchronization therapy for patients with left ventricular systolic dysfunction :a systematic review [J]. JAMA, 2007,297(22):2502-2514.
-
7Yu CM, Bleeker GB, Fung JW, et al. Left ventricular reverse remodeling but not clinical improvement predicts long-term survival after cardiac resynchronization therapy[J]. Circulation, 2005,112(9): 1580-1586.
-
8Fruhwald FM, Fahrleitner-Pammer A, Berger R, et al. Early and sustained effects of cardiac resynchronization therapy on N-terminal pro-B-type natriuretic peptide in patients with moderate to severe heart failure and cardiac dyssynchrony[J]. Eur Heart J, 2007,28(13):1592-1597.
-
9Pitzalis MV, Iacoviello M, Romito R, et al. Ventricular asynchrony predicts a better outcome in patients with chronic heart failure receiving cardiac resynchronization therapy[J]. JAm Coll Cardiol,2005,45(1):65-69.
-
10Yu CM, Fung JW, Chan CK, et al. Tissue doppler imaging is superior to strain rate imaging and postsystolic shortening on the prediction of reverse remodeling in both ischemic and nonischemic heart failure after cardiac resynchronization therapy[J]. Circulation,2004,110(1 ):66-73.
-
1贺鸿杰.联合益生菌的三联疗法与序贯疗法对幽门螺旋杆菌根治疗效比较[J].中国医药导刊,2015,17(4):358-360. 被引量：20
-
2大草知子,吕田.心力衰竭[J].日本医学介绍,2003,24(7):296-298.
-
3于佳,罗雁.胱抑素C、D二聚体与老年2型糖尿病早期肾损伤关系临床研究[J].中国实验诊断学,2014,18(9):1492-1493. 被引量：7
-
4铃儿.同步疗法并植入除颤器治疗慢性心力衰竭能降低患者病死率[J].中华医学杂志,2004,84(14):1190-1190.
-
5Tops L.F.,Schalij M.J.,Holman E.R.,J.J.Bax,郭俊.右室起搏可导致心房颤动患者在房室结消融后的心室不同步[J].世界核心医学期刊文摘（心脏病学分册）,2007,0(4):51-52.
-
6Duncan A.M.,Lim E.,Clague J.,黄浙勇.不同步的节段和整体指标预测患者对心脏再同步化治疗反应的比较[J].世界核心医学期刊文摘（心脏病学分册）,2007,0(3):55-56.
-
7于爱文,李明.中药改善胰岛素抵抗研究概况[J].新中医,2012,44(12):114-117. 被引量：2
-
8施亚娟,鄢春喜.浅析心脏再同步化治疗起搏器新的监测功能在充血性心力衰竭患者中的应用[J].中国继续医学教育,2016,8(22):85-86.
-
9丁立刚,华伟,陈柯萍,张澍,王方正,陈新.长期右心室心尖部起搏对心室重构的影响[J].中华心律失常学杂志,2009,13(5):364-368. 被引量：8
-
10冯静,秦俭.心室不同步运动与心力衰竭[J].心血管病学进展,2007,28(3):466-468.
