心脏再同步治疗在轻微和无症状心力衰竭患者中的临床应用
Cardiac resynchronization therapy in patients with mildly symptomatic or asymptomatic heart failure
摘要
心脏再同步治疗(cardiac resynchronization therapy,CRT)作为慢性心力衰竭(CHF)的一种非药物治疗策略,其临床疗效已得到充分肯定。尤其对于心功能Ⅲ或Ⅳ级(NYHA分级)、左心室射血分数(LVEF)≤0.35、体表心电图QRS时限≥120ms和经优化药物治疗的心力衰竭患者,CRT可以逆转心室重构,提高LVEF,改善患者生活质量,并且能降低因心力衰竭住院率和死亡率。
出处
《中华心律失常学杂志》
2010年第3期184-186,共3页
Chinese Journal of Cardiac Arrhythmias
基金
上海市科委课题(08140900600)
参考文献15
-
1ACC/AHA/NASPE 2002 guideline update for implantation of car diac pacemakers and antiarrhythmia devices-summary article.J Am Coll Cardiol,2002,40:1703-1719.
-
2ACC/AHA 2005 guideline update for the diagnosis and manage ment of chronic heart failure in the adult.J Am Coll Cardiol,2005,46:e1 -e82.
-
3ACC/AHA/HRS 2008 guidelines for device-based therapy of cardiac rhythm abnormalities:a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines.J Am Coll Cardiol,2008,51:e1-e62.
-
4Higgins SL,Hummel JD,Niazi IK,et al.Cardiac resynchronization therapy for the treatment of heart failure in patients with intraventricular conduction delay and malignant ventricular tachyarrhythmias.J Am Coll Cardiol,2003,42:1454-1459.
-
5Young JB,Abraham WT,Smith AL,et al.Combined cardiac resynchronization and implantable cardioversion defibrillation in advanced chronic heart failure:the MIRACLE ICD trial.JAMA,2003,289:2685-2694.
-
6Bristow MR,Saxon LA,Boehmer Let al.Cardiac-resynchronization therapy with or without an implantable defibrillator in advanced chronic heart failure.N Engl J Med,2004,350:2140-2150.
-
7Cleland JG,Daubert JC,Erdmann E,et al.The effect of cardiac resynchronization on morbidity and mortality in heart failure.N Engl J Med,2005,352:1539-1549.
-
8Wikstrom G,Blomstrom-Lundqvist C,Andren B,et al.The effects of aetiology on outcome in patients treated with cardiac resynchronization therapy in the CARE-HF trial.Eur Heart J,2009,30:782-788.
-
9Abraham 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 cardioverterdefibrillator,and mildly symptomatic chronic heart failure.Circulation,2004,110:2864-2868.
-
10Linde C,Abraham WT,Gold MR,et al.Randomized trial of cardiac resynchronization in mildly symptomatic heart failure patients and in asymptomatic patients with left ventricular dysfunction and previous heart failure symptoms.J Am Coll Cardiol,2008,52:1834-1843.
-
1张艳玲,谭小颖,杨镇军.比索洛尔治疗80岁以上慢性心力衰竭患者的疗效观察[J].中国实用医刊,2012,39(10):31-32.
-
2刘新文,唐明辉,叶青,张华.对扩张型心肌病进行优化药物治疗的疗效分析[J].求医问药(下半月刊),2012,10(3):127-127.
-
3郭苗,刘燕妮.稳定性心绞痛患者的优化药物治疗研究[J].大家健康(学术版),2014(3):138-138.
-
4张丽丽,薛培丽,邱立志,曾凤英,白金凤,杨巡.慢性阻塞性肺疾病并发症的临床分析[J].临床急诊杂志,2015,16(2):138-140. 被引量:9
-
5沈虹,刘铭雅,魏盟.慢性心衰患者优化药物治疗后的血压水平与预后的关系[J].世界临床药物,2012,33(5):287-291. 被引量:3
-
6胡荣.探讨冠心病的优化药物治疗——心率控制在冠心病优化药物治疗中的重要性[J].中国全科医学(医生读者版),2013,16(8):65-68.
-
7Kirsten J Coppell,Minako Kataoka,Sheila M Williams,Alex W Chisholm,Sue M Vorgers,Jim I Mann,闵锐(译),李玉秀(校).针对优化药物治疗仍高血糖的2型糖尿患者的营养干预随机对照研究(LOADD)——糖尿病生活方式高于药物治疗(摘要)[J].英国医学杂志中文版,2010,13(5):303-304. 被引量:1
-
8段红艳,吴学思,韩智红,郭永芳,方珊娟,张晓霞,王春梅.遵循指南优化药物治疗明显改善心力衰竭患者预后[J].中华心血管病杂志,2011,39(1):26-29. 被引量:24
-
9史雨晨,柳景华.QRS波时限与心脏再同步化治疗疗效的关系[J].中国介入心脏病学杂志,2014,22(5):328-332. 被引量:8
-
10涂晓文,黄国明,王洪如,乔怀宇,苏涛.介入治疗冠心病患者冠状动脉搭桥术后再发心绞痛的近期疗效[J].中国老年学杂志,2015,35(23):6743-6744. 被引量:19