心力衰竭病人的心脏再同步治疗进展

THE PROGRESS ON CARDIAC RESYNCHRONIZATION THERAPY IN CONGESTIVE HEART FAILURE'S PATIENTS

慢性充血性心力衰竭(chronic congestive heart failure,CHF)是心内科治疗学上的难题,是使病人丧失工作能力,具有较高患病率和病死率的严重疾患。心脏再同步化治疗(cardiac resynchronization therapy,CRT)是近年心电生理和起搏器治疗慢性充血性心力衰竭的重要进展。本文就CRT作用机制、适应症的发展历程、疗效的评价、CRT的影响因素及存在的问题作一综述。

Chronic congestive heart failure(CHF) is a difficult problem in the cardiovascular disease treatment,it is lead to patients lose the working ability,high morbidity and mortality.In recently years,Cardiac resynchronization therapy(CRT) is a significant progress in the cardiac electrophysiology and pacemaker treatment in patients with CHF.In this paper were briefly descrbed on the mechanism,development process of indications efficacy,affected factors and related problems in CRT.