连续血流左心室辅助装置植入后室性心律失常的研究进展  

Progress in ventricular arrhythmias after implantation of continuous-flow left ventricular assist devices

作　　者：付泽安 刘志刚[1] Fu Zean;Liu Zhigang(Department of Cardiovascular Surgery,TEDA International Cardiovascular Hospial,Clinical School of Cardiovascular Disease,Tianjin Medical University,Tianjin 300457,China)

机构地区：[1]天津医科大学心血管病临床学院,泰达国际心血管病医院心血管外科,天津300457

出　　处：《中华胸心血管外科杂志》2024年第5期269-276,共8页Chinese Journal of Thoracic and Cardiovascular Surgery

基　　金：天津市卫生健康科技项目(TJWJ2022XK045)。

摘　　要：连续血流左心室辅助装置(CF-LVAD)已成为终末期心力衰竭患者的长期治疗方案之一。在此类患者中,室性心律失常(VA)是CF-LVAD植入术后常见的并发症。CF-LVAD植入后严重VA可引起右心室充盈受损、血流动力学恶化等不良事件,进而影响患者预后。本文通过回顾CF-LVAD植入后VA的相关研究进展,对植入后VA的流行病学、围手术期管理和治疗方案作一综述,旨在总结植入后VA的发病机制、临床表现和预后结果,为更全面、深入地研究提供思路。Continuous flow left ventricular assist devices(CF-LVAD)have become one of the long-term treatment options for patients with end-stage heart failure.In such patients,ventricular arrhythmia(VA)is a common complication after implantation.Severe VA after CF-LVAD implantation can cause adverse events such as impaired right ventricular filling and hemodynamic deterioration,which in turn affects the patient's prognosis.By reviewing the relevant research progress of VA after CF-LVAD implantation,this article provides an overview of the epidemiology,perioperative management,and therapeutic options of postimplantation VA,aiming to summarize the pathogenesis,clinical manifestations,and prognostic outcomes of postimplantation VA,and to provide ideas for a more comprehensive and in-depth study.

关 键 词：左心室辅助装置 围手术期管理 心室充盈 预后结果 血流动力学 流行病学 终末期心力衰竭 后室性心律失常 

分 类 号：R541[医药卫生—心血管疾病]