射频消融治疗老年人阵发性室上性心动过速的时机及其临床疗效  

The occasion and clinical efficacy of radiofrequency ablation in the treatment of elderly patients with paroxysmal supraventricular tachycardia

作　　者：陈铭[1] 朱莉[1] 殷屹岗[1] 阮中宝[1] 王如珠[1] 

机构地区：[1]泰州市人民医院心脏内科,江苏省泰州225300

出　　处：《中国基层医药》2013年第2期212-214,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨射频消融治疗老年人阵发性室上性心动过速（PSVT）的时机及其临床疗效。方法回顾性分析接受射频消融治疗的45例老年PSVT患者临床资料，记录心脑血管疾病发生率、PSVT病程及发作频率、患者不得不接受射频消融治疗的原因、电生理检查及射频消融治疗的效果。结果PSVT发作持续时间和发作频率与病程呈正相关，老年PSVT患者合并严重心血管疾病者28．89％。一次射频消融治疗的成功率为100％，术后复发率为4．4％。结论建议老年PSVT患者及早接受射频消融治疗。Objective To explore the clinical pathological data of the elderly patients with paroxysmal supraventricular tachycardia（PSVT） and the timing of the radiofrequency ablation treatment for PSVT and its clinical ef- ficacy. Methods The clinical pathological data of 45 elderly patients with PSVT for radiofrequency ablation were retrospectivly analyzed, and the information of cardiovascular and cerebrovascular diseases, the duration of PSVT and frequency of attacks, the reason of patients had to accept radiofrequency catheter ablation, the treatment effective of electrophysiological study and radiofrequency ablation were recorded. Results The duration and frequency of attacks with PSVT were positively related with pathogenesis in the elderly patients. Elderly PSVT patients with severe cardiovascular disease accounted for 28.89%. The first radiofrequency ablation treatment success rate was 100% in this research and the recurrence rate was 4.4%. Conclusion It is recommended that elderly PSVT patients early access to the radiofrequency ablation.

关 键 词：导管消融术 心动过速 老年人 

分 类 号：R541[医药卫生—心血管疾病]