射频导管消融术治疗血管迷走性晕厥的进展  

Radiofrequency Catheter Ablation in Treatment of Vasovagal Syncope

作　　者：颜如玉 朱世杰 赵海玉 彭健[1] YAN Ruyu;ZHU Shijie;ZHAO Haiyu;PENG Jian(Department of Cardiology,Nanfang Hospital of Southern Medical University,Guangzhou 510515,Guangdong,China)

机构地区：[1]南方医科大学南方医院心血管内科,广东广州510515

出　　处：《心血管病学进展》2020年第12期1231-1233,1263,共4页Advances in Cardiovascular Diseases

基　　金：南方医科大学临床研究重点启动项目(LC2016ZD002)。

摘　　要：血管迷走性晕厥属于神经介导性晕厥,是最常见的晕厥类型,尤其是在无明显心脏或神经系统疾病的患者中。其易复发、难预测的特性严重降低了患者的生活质量,增加了创伤的风险,而药物治疗、倾斜训练、增加水盐的摄入、起搏器植入等治疗目前均未取得良好的治疗效果。近年来,研究发现心脏迷走神经节丛位于心外膜,射频消融可以降低心脏迷走神经节活性,故射频导管消融术成为治疗血管迷走性晕厥的新手段。现就射频导管消融术治疗血管迷走性晕厥的相关成果做一综述。Vasovagal syncope belongs to neurally-mediated syncope,which is the most common cause of syncope,particularly in patients without apparent cardiovascular or neurologic disease.It is easy to relapse and difficult to predict,which seriously reduces the quality of life of patients and increases the risk of trauma.Treatment with drugs,tilt-training,maintaining fluid and salt intake,and pacemaker have not shown good results.In recent years,it has been found that the cardiac vagal ganglion is located in the epicardium.Radiofrequency catheter ablation can decrease the activity of vagal ganglion,which has been considered as new treatment of vasovagal syncope.This article reviews the related achievements of radiofrequency catheter ablation in the treatment of vasovagal syncope.

关 键 词：血管迷走性晕厥 射频导管消融术 迷走神经节丛 

分 类 号：R54[医药卫生—心血管疾病]