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心脏再同步化治疗慢性心力衰竭临床观察

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摘要 目的观察心脏再同步化治疗(CRT)慢性心力衰竭(CHF)的疗效。方法 11例慢性心力衰竭患者行CRT,术后随访12个月,观察心功能、QRS时限、左室射血分数(LVEF)及相关心功能超声指标。结果 9例患者治疗后心功能均有明显改善,心功能NYHA分级从(3.5±0.4)级改善为(2.3±0.4)级,QRS时限从(157.0±21.4)ms缩短至(131.0±23.6)ms,LVEF从(26.7±5.2)%提高至(39.7±7.9)%;以上观察指标治疗前后比较差异均有统计学意义(P<0.05)。2例分别在植入起搏器后2个月及7个月死亡。结论 CRT通过改善心脏收缩同步性,提高左室射血分数,从而改善心功能,提高生活质量和运动能力。
作者 吕宝江 林艳 杜继文
机构地区 浙江省湖州市织里医院 浙江大学医学院附属第二医院
出处 《心脑血管病防治》 2012年第6期465-467,共3页 CARDIO-CEREBROVASCULAR DISEASE PREVENTION AND TREATMENT
关键词 心力衰竭 心脏再同步化治疗 起搏器
分类号 R541.6 [医药卫生—心血管疾病]
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参考文献6

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心脑血管病防治
2012年 第6期

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