肥厚性心肌病猝死的危险度分层和预防
摘要
肥厚性心肌病自然病史中极具危害性的一个方面就是常常引起年轻无症状病人的猝死。猝死很可能是电学不稳定心肌发生原发性室性快速性心律失常所引起。电学不稳定心肌基质的特点是:细胞结构紊乱、缺血、坏死以及瘢痕形成。尽管目前在临床上,准确认定有猝死高危的肥厚性心肌病病人还很困难,但是通过使用植入式心脏复律除颤器可以对这些病人的猝死做到有效预防。
出处
《世界医学杂志》
2003年第2期15-19,共5页
International Journal of Medicine
参考文献34
-
1Maron B J: Hypertrophic cardiomyopathy. Lancet 1997; 350: 127-133.
-
2Wigle ED. Rakowski H. Kimball BP, et al: Hypertrophic cardiomyopathy:Clinical spectrum and treatment. Circulation 1995; 92: 1680-1692.
-
3Spirito E Seidman CE. McKenna WJ, et al: The management of hypertrophic cardiomyopathy. N Engl J Med 1997; 336: 775-785.
-
4Teare D: Asymmetrical hypertrophy of the heart in young patients. Br Heart J 1958; 20: 1-8.
-
5McKenna WJ. Deanfield JE: Hypertrophic cardiomyopathy: An important cause of sudden death. Arch Dis Child 1984; 59: 971-975.
-
6Maron B J, Roberts WC, Epstein SE: Sudden death in hypertrophic cardiomyopathy: Profile of 78 patients. Circulation 1982; 65: 1388-1394.
-
7MaronBJ, Olivottol, SpiritoP, etal: Epidemiology of hypertrophic cardiomy-opathy-related death: Revisited in a large non-referral based patient populat on.Circulation 2000; 102: 858-864.
-
8Spirito P, Rapezzi C, Autore C, et al: Prognosis of asymptomatic patients with hypertrophic cardiomyopathy and nonsustained ventricular tachycardia. Circulation 1994; 90: 2743-2747.
-
9Olivotto 1, Maron B J, Montereggi A, et al: Prognostic value of systemic blood pressure response during exercise in a community-based patient population with hypertrophic cardiomyopathy. J Am Coil Cardiol 1999; 33: 2044-2051.
-
10Maron BJ. Savage DD, Wolfson JK, et al: Prognostic significance of 24-hour ambulatory electrocardiographic monitoring in patients with hypertrophic cardiomyopathy: A prospective study. Am J Cardiol 1981; 48: 252-257.
-
1王兴国,宋维汉.肥厚性心肌病猝死尸检1例并文献复习[J].中国医药指南,2011,9(24):131-132.
-
2段秀方,姚小梅,柳芳芸,王颖.肥厚性心肌病猝死尸检1例报告[J].诊断学理论与实践,2010,9(4):384-385.
-
3贾贵仁,单永兴,张志强,王连志,李会明,张宪有,陶富山.肥厚性心肌病猝死的法医病理分析[J].佳木斯医学院学报,1994,17(3):34-36.
-
4李娜,王显超,荣根满.肥厚性心肌病猝死的诱因、病理变化与前瞻性研究[J].中国医药指南,2014,12(32):246-246. 被引量:2
-
5华伟,丁立刚.心脏性猝死的预防与前景[J].中国循环杂志,2014,29(12):961-963. 被引量:20
-
6李涛,张丛.植入式心脏复律除颤器预防慢性心衰猝死的进展[J].中国心血管病研究,2005,3(7):551-553. 被引量:3
-
7吕键.动态心电图确诊心源性晕厥五例[J].中国心脏起搏与心电生理杂志,2010,24(4):374-376. 被引量:5
-
8张奇志,张翼,何梅珍.QT离散度与原发性高血压左室肥厚的关系[J].岭南心血管病杂志,2001,7(1):41-41.
-
9毛蕾,张应福.盐酸胺碘酮治疗快速性心律失常[J].医药论坛杂志,2005,26(19):78-78. 被引量:1
-
10李寿桢,徐遐华.精神刺激诱发室性快速性心律失常[J].中国行为医学科学,1994,3(3):124-125. 被引量:2