经导管主动脉瓣置换术后心律失常和心电图改变  

Arrhythmia and ECG changes after transcatheter aortic valve replacement

作　　者：吕童莲 邱久纯[1] 刘彤[1] LV Tonglian;QIU Jiuchun;LIU Tong(Department of Cardiology,the Second Hospital of Tianjin Medical University,Tianjin 300211,China)

机构地区：[1]天津医科大学第二医院心脏科,天津300211

出　　处：《实用心电学杂志》2023年第2期130-135,共6页Journal of Practical Electrocardiology

基　　金：天津市自然科学基金资助项目(19JCYBJC26800)。

摘　　要：经导管主动脉瓣置换术(transcatheter aortic valve replacement,TAVR)已成为中、高危重度主动脉瓣狭窄患者的一线治疗手段。TAVR术后往往伴随多种心律失常和心电图改变,其中常见的心律失常为房室阻滞、束支阻滞和房颤,多导致不良预后。了解TAVR术后心律失常和心电图改变,有助于患者的临床诊断、疗效评估及预后判断。本文对TAVR术后心律失常和心电图改变进行综述。Transcatheter aortic valve replacement(TAVR)has become the first-line treatment in patients with mild or severe symptomatic aortic stenosis.Patients after TAVR are usually accompanied by various arrhythmias and ECG changes;arrhythmias such as atrioventricular block,bundle branch block and atrial fibrillation commonly occur in these cases,which mostly leads to poor prognosis.Understanding arrhythmias and ECG changes after TAVR is helpful for the clinical diagnosis,efficacy evaluation and prognosis judgment of patients.This paper reviews the arrhythmias and ECG changes after TAVR.

关 键 词：经导管主动脉瓣置换术 心电图 心律失常 房室阻滞 束支阻滞 房颤 

分 类 号：R541.75[医药卫生—心血管疾病] R540.4[医药卫生—内科学]