房性心律失常导管消融治疗围术期血管迷走神经反射的防治研究  

The treatments of perioperative vascular vagus reflex in CARTO guided radiofrequency ablation in the treatment of atrial arrhythmia

作　　者：柴虹[1] 钟理[1] 舒茂琴[1] 李华康[1] 朱平[1] 宋治远[1] 蒋周芹 

机构地区：[1]第三军医大学西南医院心血管内科,重庆400038

出　　处：《重庆医学》2015年第19期2646-2648,共3页Chongqing medicine

摘　　要：目的探讨房性心律失常导管消融术围术期血管迷走神经反射(RV)的处理策略。方法对该科在CARTO三维标测系统指导下成功行导管消融治疗的房性心律失常患者围术期发生RV的临床病例资料进行回顾性分析,并对发生及未发生RV患者的临床资料进行比较。结果 2010年1月至2012年12月,共计535例房性心律失常进行了三维标测指导下的导管消融术。术中发生RV患者共35例,合并RV者更常见于高龄,合并高血压病、冠心病、糖尿病,空腹、手术时间过长、疼痛刺激、术者熟练程度是重要诱因等。结论 RV易发生在部分高危人群并常有诱因,尽早识别积极防治预后良好。Objective To investigate the effective therapic methods of the perioperative vasovagal reflex（RV）in patients with atrial arrhythmias（AAs）underwent by catheter ablation. Methods The clinical data in the patients with atrial arrbythmias（AAs） complicated by vasovagal reflex（RV）were retrospectively analyzed during the perioperative procedure of catheter ablation guided by three dimensional mapping system CARTO;the clinical data were compared between patients with RV and without RV. Results A total of 535 patients with AAs underwent catheter ablation guided by three dimensional mapping system were collected from Janu- ary 2010 to December 2012,and 35 cases of intraoperative RV were found. Compared by patients without RV, the patients with RV had more elderly cases and the cases of hypertension, coronary heart disease and diabetes. The RV occurrence was also associated with the fasting,painful stimuli,operation time and skill. Conclusion The perioperative RV often is occurred in the cases of high risk and have the precipitating factors,and the good prognosis could be obtained by the detect and treatment as early as possible.

关 键 词：血管迷走神经反射 房性心律失常 导管消融 

分 类 号：R541.7[医药卫生—心血管疾病]