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心力衰竭并心房颤动再同步化治疗1例 被引量：3

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摘要 1 病例资料 患者为男性,77岁,因“反复胸闷气促5年,再发2个月”入院.既往糖尿病5年.5年前劳累后胸闷、气促,休息数分钟缓解.3个月前夜间突发胸闷,伴大汗并晕厥,诊断急性心肌梗死行急诊经皮冠状动脉介入（PCI）治疗,在左前降支植入2枚支架.近1个月夜间不能平卧,双下肢水肿.查体：血压100/70 mm Hg（1 mm Hg=0.133 kPa）,神志清,颈静脉怒张,双肺呼吸音减低,心率62次/min,律不齐,第一心音强弱不等,脉搏短促.腹平软,双下肢水肿.实验室检查提示肌酐（Cr） 171 μmol/L,氨基末端脑钠肽前体（NT-proBNP） 21 659 pg/mL.其余指标大致正常.辅助检查：心电图示心房颤动伴右束支传导阻滞（图1）.超声心动图显示左心房内径45 mm,右心室内径16 mm,左心室舒张末内径66 mm,射血分数内径42％.
作者 卢章 余小平 罗菲菲
机构地区 深圳市第二人民医院
出处 《岭南心血管病杂志》 2014年第4期553-554,共2页 South China Journal of Cardiovascular Diseases
关键词 心力衰竭 心脏再同步化治疗 心房颤动
分类号 R542.52 [医药卫生—心血管疾病]
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参考文献8

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同被引文献36

  • 1戴海龙,左明鲜,光雪峰,盖起明,丁云川,王庆慧.超声新技术指导下心脏再同步化治疗心功能及相关因子水平观察[J].昆明医科大学学报,2013,34(7):38-43. 被引量：7
  • 2李春慧.洛汀新与缬沙坦对老年急性心肌梗死患者心室重塑及心功能的影响[J].中国老年学杂志,2015,35(1):82-84. 被引量：17
  • 3Artis NJ,Oxborough CL,Brich KM,et al. Short-axis 2D strain from speckle tracking predicts echocardiographic response to cardiac resynchronization therapy[J]. Echocardiography, 2011,28(1):76-84.
  • 4Park SJ,Oh JK. Correlation between LV regional strain and LV dyssynchrony assessed by 2D STE in patients with different levels of diastolic dysfunction[J]. Echocardiography,2010, 27(10): 1194-204.
  • 5Bae BS,Kim KJ,Park JG,et al. Improvement in left ventricular systolic dyssynchrony in hypertensive patients after treatment of hypertension[J]. Korean Circ J,2011,41 ( 1 ): 16-22.
  • 6Tanaka H,Nesser HJ,Buck T,et al. Dyssynchrony by speckle-tracking echocardiography and response to cardiac resynchronization therapy: results of the Speckle Tracking and Resynchronization(STAR)study[J ]. Eur Heart J,2010,31(14):1690-700.
  • 7Rimbas RC,Margulescu AD,Siliste C,et a[. Left ventricular strain analysis reveals better synchrony and diastolic function for septal versus apical right ventricular permanent pacing[J]. Maedica(Buchar) ,2014,9(3):232-41.
  • 8Alhous MH,Small GR,Hannah A,et al. Right ventricular septal pacing as alternative for failed left ventricular lead implantation in cardiac resynchronization therapy candidates[J]. Europace,2015,17(1):94-100.
  • 9Park SJ, Oh JK. Correlation between LV regional strain and LV dyssynchrony assessed by 2D STE in patients with different levels of diastolic dysfunction. Echocardiography, 2010,27 : 1194-1204.
  • 10Rimbas RC, Margulescu AD, Siliste C, et al. Left ventricular strain analysis reveals better syncbrony and diastolic function for septal versus apical right ventricular permanent pacing. Maedica (Buchar),2014,9:232-241.

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岭南心血管病杂志
2014年 第4期

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