经导管射频消融术后心悸原因的分析与处理  

Cause and treatment of palpitation in patients with paroxysmal tachycardia after radiofrequency catheter ablation

作　　者：谢群[1] 张政祥 许大国[3] 

机构地区：[1]深圳市罗湖区人民医院内科,广东深圳518001 [2]深圳市罗湖区妇幼保健院 [3]湖北省十堰市太和医院,442000

出　　处：《心血管康复医学杂志》2006年第2期146-148,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的：了解阵发性心动过速(PT)患者经导管射频消融术(RFCA)后心悸的原因,提出相应的处理对策。方法：对680例行 RFCA 的 PT 患者进行随访,根据心悸的临床特点,选择相应的检查以明确诊断。结果：随访2月～4 年(平均0.6±1.1年),RFCA 后114例(16.8%)仍有心悸症状,其中心律失常53例(包括 RFCA 不成功15例,复发13例,合并阵发性房颤17例,多机制心动过速4例,房室传导阻滞4例),冠心病12例,高血压病15例,心神经官能症10例,15例原因不明。术后并发症13例,均不严重,经处理后恢复。结论：RFCA 后心悸的发生率并不低,其原因除心律失常(包括手术失败和复发)外,原发病是常见原因,应作相应检查和治疗。Objective： To explore the cause of palpitation in patients with paroxysmal tachycardia （PT） after radiofrequency catheter ablation （RFCA） and treatment strategy. Methods： Six hundred and eighty PT patients after RFCA were follow-up 2 months to 4 years （0. 6±1.1 year）. According to clinical feature of palpitation, relative examinations were selected. Results： After RFCA there were 114 patients （16.8%） with palpitation. In which arrhythmia was 52 cases （contain RFCA unsuccess 15 cases, PT recurred 13 cases, atrial fibrillation 17 cases. Atrial ventricular block 4 cases, multl-types tachycardla 4 cases）, with coronary heart disease 12 cases, hypertension 15 cases, cardiovascular neurosis l0 eases and with vasovagal syncope 4 cases; while 15 cases were unknown. There were 13 cases with postoperative complication, but no serious, all rehab after treatment. Conclusion： The occurrence rate of palpitation after RFCA isn＇t low. Besides arrhythmia （contain RFCA unsucccss and recurrence）, protopathy such as coronary heart disease, hypertension, cardiovascular neurosis is common cause. Relative examination and therapy should be done according to their clinical feature.

关 键 词：心动过速 阵发性 心脏导管插入术 心悸 

分 类 号：R540.46[医药卫生—心血管疾病]