射频消融治疗心动过速远期疗效分析  

Long term follow up of radiofrequency catheter ablation of varied tachycardia

作　　者：许春萱[1] 邓玉莲[1] 吴卫[1] 陈林[1] 林锋[1] 胡锡衷[1] 陈孟敭 王洁如 沈玉珍[1] 林秋萍[1] 

机构地区：[1]福建省心血管病研究所,福州350001

出　　处：《临床心血管病杂志》1997年第5期262-264,共3页Journal of Clinical Cardiology

摘　　要：1995年前射频消融（RFCA）治疗各类心动过速120例，总成功率97.5％。采用心电图、动态心电图或经食管心房调搏检查保持随访的共108例，随访时间6～35个月，复发3例，心动过速复发率2．8％。复发的3例经分析与消融放电时间太短、未能造成稳定性损伤有关。59例术后1～3个月二维超声心动图复查未发现因RFCA而造成心脏结构、舒缩功能和射血分数等改变。120 cases with varied tachycardia were treated with radiofrequency catheter ablation (RFCA) in our hospital before 1996. The successful rate of RFCA was 97. 5 %. 108 cases were followed up by ECG,DCG or TEAP for 6~35 months. The tachycardias were recurred in 3 cases, the recurrent rate of 2. 8%. The cause of recurrence may be mainly related with too short duration of electric discharging, so that the produced damages were not stabilized. 59 cases were reexamined with echocardiography in 1 ~ 3 months after operation, which showed no change in cardiac structure, diastolic function and ejection fraction.

关 键 词：射频消融术 心动过速 远期疗效 

分 类 号：R541.710.5[医药卫生—心血管疾病]