摘要
目的对阵发性室上性心动过速(PSVT)射频消融(RFCA)治疗的时机进行探讨。方法回顾分析接受RFCA治疗,且年龄≥60岁的老年患者的临床资料。结果36例PSVT患者,年龄68.72±5.78岁。除1例外,其余35例首次出现症状至人院行RFCA治疗的间隔131.23±131.98(1~564)个月。18例首次发病年龄〈60岁,占总数的50%。36例中,10例因PSVT引发严重心血管事件而接受RFCA治疗,26例因PSVT明显影响生活质量而接受RFCA治疗。术后平均随访24.53±14.16个月,仅1例复发,RFCA治疗成功率为97.22%。术后随访期间,没有患者发生因PSVT而引发的心血管事件。结论PSVT患者,特别是老年患者,应及早接受RFCA治疗。
Objective To give a discussion on the opportunity for paroxysmal supraventricular tachycardia (PSVT) treatment with radiofrequency catheter ablation ( RFCA ). Methods To review and analyze data of patients with more than 60 years old who received RFCA treatment for PSVT. Results Thirty-six patients with PSVT and aged ≥ 60-year- old had received RFCA treatment. Fourteen patients were male, and average age was 68.72 ± 5.78 years. Except for 1 patient, all intervals in other patients from the first emergence of relative PSVT symptom to admission for RFCA treatment of PSVT were 131.23 ± 131.98( 1 -564) months. There were 18 patients who were 〈60-year-old at the first onset of PSVT, accounting for 50%. Ten patients received RFCA treatment because of serious cardiovascular events, and 26 patients because of significant effect on the quality of life. During 24.53 ± 14.16 months of follow-up, there was only 1 patient with relapse, and the success rate was 97.22%. There were no cardiovascular events caused by PSVT during the follow-up. Conclusion PSVT patients, especially elderly patients, should receive RFCA treatment early
出处
《中国心脏起搏与心电生理杂志》
北大核心
2011年第1期48-50,共3页
Chinese Journal of Cardiac Pacing and Electrophysiology
关键词
心血管病学
阵发性室上性心动过速
导管消融
射频电流
老年患者
并发症
心血管事件
Cardiology
Paroxysmal supraventricular tachycardia
Catheter ablation, radiofrequency current
Elderly patients
Complication
Cardiovascular events