肾动脉交感神经消融术治疗慢性心力衰竭4例的疗效观察  

Clinical Observation of Renal Sympathetic Denervation for Treatment of Systolic Heart Failure in Four Patients

作　　者：王丽娟[1] 钟诚[1] 刘元伟[1] 孙国建[1] 沈法荣[1] 

机构地区：[1]浙江医院心内科,杭州310013

出　　处：《心电与循环》2013年第3期185-187,共3页Journal of Electrocardiology and Circulation

摘　　要：目的观察肾动脉交感神经消融术对心力衰竭患者的疗效及安全性。方法共入选4例扩张型心肌病慢性心力衰竭患者，予以双侧肾动脉交感神经消融术。随访7～9个月，观察术后患者心功能变化。结果血压和心率未见明显变化，血常规、肝肾功能未见明显变化，左心室舒张收缩末期大小、左心房前后径未见明显变化，左心室射血分数有改善，6min步行明显提高。结论慢性心力衰竭患者肾动脉交感神经消融术后心功能可能有改善，未见明显并发症。Objective To investigate safety and efficacy of renal sympathetic denervation in patients with systolic heart failure. Methods 4 patients with dilated cardiomyopathy and chronic systolic heart failure underwent bilateral renal denervation. Heart function was evaluated during 7 -9 months＇ follow-up. Results There was no significant change of blood pressure, heart rate, blood routine examination, liver and renal function, left ventricular end-diastolic and end-systolic dimension, and left atrium size. The left ventricle ejection fraction increased and six-minute walk distance improved obviously. Conclusion Heart function of patients with chronic systolic heart failure may improved after renal sympathetic denervation without serious complication.

关 键 词：慢性心力衰竭 肾动脉交感神经 消融 

分 类 号：R541.6[医药卫生—心血管疾病]