期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

Ⅲ度房室传导阻滞患者右心房起搏比例与心功能的关系 被引量：4

在线阅读 下载PDF
导出
摘要 目的探讨Ⅲ度房室传导阻滞(AVB)患者右心房起搏比例与心功能的关系。方法回顾性分析置入双腔起搏器的Ⅲ度AVB患者146例,按术后1年随访时程控仪获取的右心房起搏比例分为≥50%组(A组)66例和<50%组(B组)80例,比较两组术后性别、年龄、合并高血压、合并冠心病、心电图起搏QRS波时限、心房高频事件及经胸心脏彩色多普勒超声检查的RAD、LVDd、RVD、LVEF、AMV、ATV及NT-proBNP的差异,以对数NT-proBNP为应变量拟和多元线性模型,探讨NT-proBNP与右心房起搏比例的关系并进行相关性分析。结果术后两组在性别、年龄、合并高血压、合并冠心病、心电图起搏QRS波时限、心房高频事件及经胸心脏彩色多普勒超声检查的RAD、RVD、LVDd、LVEF、AMV及ATV比较差异无统计学意义(P>0.05);但B组LAD与A组比较显著减少[(32.1±4.7)mm vs(36.4±3.5)mm,P<0.05],血清NT-proBNP与A组比较显著减少[(231.5±86.7)pg/ml vs(318.4±67.8)pg/mL,P<0.05]。多元线性回归分析显示:影响NT-proBNP的因素为高右心房起搏比例(P<0.01)。结论在Ⅲ度AVB起搏器置入患者中,血清NT-proBNP水平可随右心房起搏比例增多而升高,右心房起搏比例增多对患者的心功能可产生负面影响。
作者 汤长春 陈然 张翼 曾向辉 彭珍云
机构地区 湖南省长沙市中心医院心内科 湖南省人民医院心内科
出处 《广东医学》 CAS CSCD 北大核心 2012年第7期935-937,共3页 Guangdong Medical Journal
关键词 Ⅲ度房室传导阻滞患者 右心房起搏比例 血清氨基末端脑钠肽前体 心功能
分类号 R542.22 [医药卫生—心血管疾病]
  • 相关文献

参考文献7

  • 1WEENEY M O, HELLKAMP A S, ELLENBOGEN K A, et al. Adverse effect of ventricular pacing on heart failure and atrial fibrillation among patients with normal baseline QRS duration in clinical trial of pacemaker therapy for sinus node dysfunction. Circulation, 2003, 10(3): 29-33.
  • 2KARPAWICH P P, WEBSTER P, GOODMAN E, et al. Repositioning a dislodged new lumenless pacing lead: a simple tool andtechnique[ J]. Pacing Clin Electrophysiol, 2008, 31 (3) : 354 - 357.
  • 3FUNCK R C, BORIANI G, MANLOIS A S, et al. The MINERVA study design and rationale: a controlled randomized trial to assess the clinical benefit of minimizing ventricular pacing in pacemaker patients with atrial tachyarrhythmias[ J]. Am Heat J, 2008, 156 (3) : 445 -451.
  • 4AZZAZY H M, CHRISTENSON R H, DUH S H. Stability of Btype natriuretic peptide (BNP) in whole blood and plasma stored under different conditions when measured with the Biosite Triage or Beckman Couher Access systems[J]. Clin Chim Acta, 2007, 384 (4) : 176 -178.
  • 5PAREKH S, STEIN K M. Selective site pacing: rationale and practical application[ J]. Curr Cardiol Rep, 2008, 10(5) : 351 - 359.
  • 6SHIN DI, JAEKEL K, SCHLEY P, et al. Plasma levels of NTpro - BNP in patients with atrialfibrillation before and after electrical cardioversion[ J]. Z Kardiol, 2005, 94( 1 ) : 795 - 800.
  • 7汤长春,张翼,胡美英,彭珍云,曾向辉.心房颤动患者氨基末端脑钠肽前体水平与左心房大小的临床研究[J].中国心血管杂志,2011,16(1):16-18. 被引量：5

二级参考文献8

  • 1黄从新,马长生,杨延宗,黄德嘉,张澍,江洪,杨新春,吴书林,马坚,刘少稳,李莉,曹克将,王方正,陈新.心房颤动：目前的认识和治疗建议(二)[J].中华心律失常学杂志,2006,10(3):167-197. 被引量：269
  • 2Maisel AS,Krishnaswamy P,Nowak RM,et al.Rapid measurement of B-type natriuretic peptide in the emergency diagnosis of heart failure.N Engl J Med,2002,347:161-167.
  • 3Bozkurt B,Mann DL.Use of biomarkers in the management of heart failure:are we there yet? Circulation,2003,107:1231-1233.
  • 4Rossi A,Enriquez-Sarano M,Burnett JC Jr,et al.Natriuretie peptide levels in atrial fibrillation:a prospective hormonal and Doppler-echocardiographic study.J Am Coil Cardiol,2000,35:1256-1262.
  • 5Shin DI,Jaekel K,Schley P,et al.Plasma levels of NT-pro-BNP in patients with atrial fibrillation before and after electrical cardioversion.Z Kardiol,2005,94:795-800.
  • 6Frustasi A,Chimenti C,Belloeci F,et al.Histological substrate of atrial biopsies in patients with lone atrial fibrillation.Circulation,1997,96:1180-1184.
  • 7Tuinenburg AE,Brundel BJ,Van Gelder IC,et al.Gene expression of the natriuretic peptide system in atrial tissue of patients with paroxysmal and persistent atrial fibrillation.J Cardiovasc Electrophysiol,1999,10:827-835.
  • 8Inoue S,Murakami Y,Sano K,et al.Atrium as a source of brain natriuretic polypeptide in patients with atrial fibrillation.J Card Fail,2000,6:92-96.

共引文献4

同被引文献35

  • 1刘超,樊文峰,张源祥,刘明瑜.彩色多普勒在心脏血流动力学测量中的临床应用[J].新医学,2004,35(10):639-640. 被引量：2
  • 2毛琳.心脏起搏器主动与被动固定电极置入后参数的变化[J].中国心脏起搏与心电生理杂志,2006,20(5):420-422. 被引量：6
  • 3KOJIMA J, NIWANO S, MORIGUCHI M, et al. Effect of pilsicainide on atrial eleetrophysiologic properties in the canine rapid atrial stimulation model[J]. Circ J, 2003, 67(4): 340- 346.
  • 4MORIGUCHI M, NIWANO S, YOSHIZAWA N, et al. Inhom- ogeneity in the appearance of electrical remodeling during chronic rapid atrial pacing: evaluation of the dispersion of atrial effective refractoriness [J]. Jpn Cite J, 2001, 65 (4): 335-340.
  • 5Jairath U C,Spodick D H. Exceptional prevalence of interatrial block in a general hospital population[J].Clinical Cardiology,2001,(08):548-550.doi:10.1002/clc.4960240805.
  • 6Goyal S B,Spodick D H. Electromechanical dysfunction of the left atrium associated with interatrial block[J].American Heart Journal,2001,(05):823-827.
  • 7Katsivas A,Manolis A G,Lazaris E. Atrial septal pacing to synchroni-ze atrial depolarization in patients with delayed interatrial conduction[J].Pacing and Clinical Electrophysiology,1998,(11):2220-2225.
  • 8秦丰明;唐欧衫;成银宏.低位心房间隔起搏的心电图P波形态观察[J]心电学杂志,2009(02):71.
  • 9de Voogt W G. Electrocardiographic characteristics in low atrial septum pacing[J].Journal of Electrocardiology,2005,(02):166-170.
  • 10Miyazaki H. Atrial septal pacing to resynchronize atrial contraction and improve atrial transport function[J].Journal of Cardiology,2005,(06):239-246.

引证文献4

二级引证文献4

广东医学
2012年 第7期

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部