心脏起搏对慢性房颤并心力衰竭患者血浆脑利钠肽的影响  

Effect of VVI pacing on plasma brain natriuretic peptide level in patients with chronic atrial fibrillation and chronic heart failure

作　　者：梅益斌[1] 考验[1] 季乃军[1] 王成尧[1] 

机构地区：[1]丽水市人民医院,浙江丽水323000

出　　处：《心血管康复医学杂志》2008年第3期265-266,共2页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:研究VVI起搏对慢性房颤合并心力衰竭患者血浆脑利钠肽(BNP)水平的影响及其临床意义。方法:67例患者被分为VVI起搏组(48例)和未起搏组(19例),术前测血浆BNP值,术后3～6月随访测血浆BNP。比较两组患者BNP浓度差异。结果:起搏组术后BNP水平较未起搏组低[(129.21±31.57)pg/ml∶(150.43±35.71)pg/ml,P<0.05]。结论:VVI起搏未引起慢性房颤合并心力衰竭患者的BNP水平增高,对此类患者的心脏功能影响较小,或有助益。Objective： To study the effect of VVI pacing on the brain natriuretic peiptide （BNP） level in patients with chronic atrial fibrillation （CAF） and chronic heart failure （CHF）. Methods： The 67 patients with CAF and CHF were divided into VVI pacing group （48 cases） and no pacing group （19 cases）, BNP were measured before pacing operetion and 3 to 6 months after the operation, Results： BNP level increased significantly 3 to 6 months later in no pacing group and more than that of VVI group （P〈0. 05 all）, while no significant changes were found in VVI group. Conclusion： VVI pacing has no significant effect no the BNP level in patients with CAF and CHF.

关 键 词：心房颤动 心力衰竭 充血性 利钠肽 脑 心脏起搏 人工 

分 类 号：R541.75[医药卫生—心血管疾病]