文章摘要
卫 丽,李学奇.射频消融治疗高龄患者房室结折返性心动过速[J].南京医科大学学报,2009,29(6):879~881
射频消融治疗高龄患者房室结折返性心动过速
Radiofrequency catheter ablation in elder patients with atrioventricular node reentrant tachycardia
投稿时间:2009-01-12  
DOI:10.7655
中文关键词: 高龄  房室结折返性心动过速  射频消融术
英文关键词: elderly patients  atrioventricular node reentrant tachycardia  radiofrequency ablation
基金项目:
作者单位
卫 丽 哈尔滨医科大学附属第四医院心血管内科,黑龙江 哈尔滨 150001 
李学奇  
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中文摘要:
      目的:回顾性分析射频消融(RFCA)治疗高龄患者房室结折返性心动过速(AVNRT)的有效性和安全性?方法:2005年1月至2008年1月阵发性房室结折返性心动过速的高龄患者21例采用射频消融治疗?结果:21例患者首次消融成功20例,消融成功率95.2%,1例术中失败患者拒绝二次手术,术后共随访9~36个月,均未复发,复发率0%?并发症发生率9.5%,1例为肺气肿患者发生少量气胸,1例放电时出现Ⅰ度房室传导阻滞(PR间期0.28 s),无死亡病例?结论:射频消融治疗高龄患者房室结折返性心动过速是有效的?安全的?
英文摘要:
      Objective:To retrospectively analyze the effectiveness and safety of radiofrequency catheter ablation (RFCA) in elder patients with atrioventricular node reentrant tachycardia (AVNRT). Methods:From Jan 2005 to Jan 2008, 21 elder patients (9 males and 12 females) suffered from intermittent AVNRT and subjected to RFCA were enrolled in this study. The mean age was 68.2 ± 3.4 years (age range from 60 to 78 years). The major coincident disorders were hypertension, coronary heart disease and pulmonary emphysema. Results:First RFCA succeeded in 20 cases and failed in one case who refused second procedure (achievement ratio 95.2%). Post-operation follow-up for 9~36 months showed there was no relapse (relapse ratio 0%) or death. The side effects include mild pneumothorax in one patient with previous pulmonary emphysema and degree Ⅰ atrioventricular block (PR interval 0.28 s) during electric discharge in another patient (complication incidence 9.5%). Conclusion:RFCA is effective and safe for elder patients with AVNRT.
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