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慢性心力衰竭器械治疗 被引量:2

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摘要 慢性心力衰竭(心衰)是一种复杂的临床症状群,为各种心脏病的严重阶段,严重影响患者的生活质量,且明显缩短患者寿命.美国2006年流行病学资料提示慢性心衰患者达570万[1],对我国10省市35 ~ 74岁城乡居民15 518人进行流行病学调查发现,慢性心衰患病率为0.9%,至少有420万心衰患者(2007年心衰指南).基于β受体阻滞剂、血管紧张素转换酶抑制剂和醛固酮受体拮抗剂的“金三角”治疗给心衰患者带来益处,但是这些药物不能完全控制患者心衰的进展,慢性心衰的发病率和死亡率仍然在继续升高.近年来,在进一步研发新药的同时,医务工作者在慢性心衰的器械治疗领域进行了大量的探索,取得了长足的进步,成为慢性心衰治疗指南的一大亮点.心脏再同步化治疗(CRT)、埋藏式心脏复律除颤器(ICD)及心室辅助装置等慢性心衰器械治疗发展迅速,提高慢性心衰患者的心脏泵功能、改善症状、提高生活质量,甚至逆转心脏重构,减少心律失常致死的风险,进一步降低慢性心衰患者住院率及死亡率.
出处 《临床内科杂志》 CAS 2015年第1期17-19,共3页 Journal of Clinical Internal Medicine
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