双腔起搏器术后患者心力衰竭发生率及危险因素  

Risk factors and incidence of heart failure after dual chamber pacemaker implantation

作　　者：高瑞龙[1] 刘芃[1] 翟正芹 周益锋[1] GAO Rui-long;LIU Peng;ZHAI Zheng-qin(Department of Cardiology,China-Japan Friendship Hospital,Beijing 100029,China)

机构地区：[1]中日友好医院心脏科,北京100029

出　　处：《中日友好医院学报》2020年第4期199-201,205,共4页Journal of China-Japan Friendship Hospital

基　　金：中日友好医院青年英才课题(2014-QNYC-B-13)。

摘　　要：目的:探讨双腔心脏起搏器植入术后患者的心力衰竭发生率及相关危险因素。方法:入选2014年1月~2017年1月共247例植入双腔心脏起搏器的患者,其中215例完成随访,统计随访期间心力衰竭的发生率,对相关因素进行多因素Logistic回归分析。结果:215例患者中随访期间出现心力衰竭者42例,发生率19.5%。多因素Logistic逐步回归分析显示,植入时射血分数低、心室起搏比例高是起搏器术后发生心力衰竭的危险因素(OR=4.89、3.21,均P<0.05)。结论:植入双腔永久起搏器患者术后发生心力衰竭比例为19.5%,危险因素包括植入时射血分数低和心室起搏比例高,需加强此类患者起搏器术后的治疗及监测。Objective:To investigate the incidence and related factors of heart failure in patients with dual chamber pacemaker.Methods:A total of 247 patients after dual chamber pacemaker implantation during January 2014 to January 2017 were included prespectively.Among them 215 patients who finished the follow up were investigated.The data were analyzed by multivariate logistic regression.Results:Of the 215 patients,42 had heart failure during follow up,the incidence was 19.5%.Multivariate logistic stepwise regression analysis showed that low left ventricular ejection fraction(OR=4.89)and high proportion of ventricular pacing(OR=3.21)had significant influence on the heart failure exacerbation(both P <0.05).Conclusion:The incidence of heart failure in patients after dual chamber pacemaker implantation were 19.5%.The risk factors were low left ventricular ejection fraction and high proportion of ventricular pacing.It is necessary to strengthen the postoperative monitor and care against heart failure in patients with dual chamber pacemaker implantation.

关 键 词：双腔心脏起搏器 心力衰竭 危险因素 

分 类 号：R541.72[医药卫生—心血管疾病]