心电学参数在心力衰竭预后评估中的应用  

Application of cardiac electrical parameters in evaluating the prognosis of heart failure

作　　者：王凯[1] 王慧敏[1] 吴倩芸[1] 李新立[1] Wang Kai Wang Huimin Wu Qianyun Li Xinli(Department of Cardiology, the First Affiliated Hospital of NJMU, Nanjing 210029, China)

机构地区：[1]南京医科大学第一附属医院心血管内科,江苏南京210029

出　　处：《南京医科大学学报（自然科学版）》2017年第3期261-266,共6页Journal of Nanjing Medical University(Natural Sciences)

基　　金：国家"十二五"科技支撑计划课题(2011BAI11B08)

摘　　要：心力衰竭(heart failure,HF)是心血管疾病的终末期表现和最主要的死因。对其进行危险度分层及死亡率的预测,一直是备受关注的临床研究领域。心电学参数以无创、简单、可靠等优点逐渐展现了广阔的应用前景。本综述旨在分析QRS时限、心室晚电位、T波电交替、窦性心率震荡、心率减速力与连续心率减速力、室性早搏与非持续性室速等心电学参数在评估HF患者预后中的应用价值及最新研究进展,有助于我国临床工作者更加准确地评估HF患者病情,并及时采取相应的干预性治疗。Heart failure （HF） is the end-stage performance and the leading cause of death in cardiovascular disease. All the time, we pay more and more attention to the risk stratification and prediction of HF. Cardiac electrical parameters had shown a broad application prospects in cardiovascular system, and its advantages consist of convenience, security, and no invasion. This review summarizes the application value and the research development of cardiac electrical parameters including QRS duration, ventricular late potential, T-wave alternans, heart rate turbulence, deceleration capacity of rate, heart rate deceleration runs, premature ventricular complexes and non-sustained ventricular tachycardia, which may help clinician to take accurate assessment of HF patients and timely perform intensive treatments to reduce adverse outcomes.

关 键 词：心力衰竭 心电学参数 预后 

分 类 号：R541.6[医药卫生—心血管疾病]