从老年患者探讨阵发性室上性心动过速射频消融时机  

A study on the opportunity for paroxysmal supraventricular tachycardia treatment with radiofrequency catheter ablation in elderly patients

作　　者：王禹川[1] 盛琴慧[2] 丁燕生[1] 周菁[2] 蒋捷[2] 李康[2] 史力斌[2] 

机构地区：[1]北京大学第一医院老年科,北京100034 [2]北京大学第一医院心内科,北京100034

出　　处：《中国心脏起搏与心电生理杂志》2011年第1期48-50,共3页Chinese Journal of Cardiac Pacing and Electrophysiology

摘　　要：目的对阵发性室上性心动过速（PSVT）射频消融（RFCA）治疗的时机进行探讨。方法回顾分析接受RFCA治疗，且年龄≥60岁的老年患者的临床资料。结果36例PSVT患者，年龄68．72±5．78岁。除1例外，其余35例首次出现症状至人院行RFCA治疗的间隔131．23±131．98（1～564）个月。18例首次发病年龄〈60岁，占总数的50％。36例中，10例因PSVT引发严重心血管事件而接受RFCA治疗，26例因PSVT明显影响生活质量而接受RFCA治疗。术后平均随访24．53±14．16个月，仅1例复发，RFCA治疗成功率为97．22％。术后随访期间，没有患者发生因PSVT而引发的心血管事件。结论PSVT患者，特别是老年患者，应及早接受RFCA治疗。Objective To give a discussion on the opportunity for paroxysmal supraventricular tachycardia （PSVT） treatment with radiofrequency catheter ablation （ RFCA ）. Methods To review and analyze data of patients with more than 60 years old who received RFCA treatment for PSVT. Results Thirty-six patients with PSVT and aged ≥ 60-year- old had received RFCA treatment. Fourteen patients were male, and average age was 68.72 ± 5.78 years. Except for 1 patient, all intervals in other patients from the first emergence of relative PSVT symptom to admission for RFCA treatment of PSVT were 131.23 ± 131.98（ 1 -564） months. There were 18 patients who were 〈60-year-old at the first onset of PSVT, accounting for 50%. Ten patients received RFCA treatment because of serious cardiovascular events, and 26 patients because of significant effect on the quality of life. During 24.53 ± 14.16 months of follow-up, there was only 1 patient with relapse, and the success rate was 97.22%. There were no cardiovascular events caused by PSVT during the follow-up. Conclusion PSVT patients, especially elderly patients, should receive RFCA treatment early

关 键 词：心血管病学 阵发性室上性心动过速 导管消融 射频电流 老年患者 并发症 心血管事件 

分 类 号：R541.71[医药卫生—心血管疾病] R454.1[医药卫生—内科学]