摘要
我们对12例频发的,药物难治性的顽固性室性早搏进行了射频消融治疗。本组病人均无器质性心脏病,其中11例为右定流出道,1例为左室来源,早搏量为12000~53000/24小时。经用起搏标测为主的定位方法局部放电,8例呈性早搏完全消失,3例明显减少,1例无效,无手术并发症。随访6~17个月,有效病例术后无复发或早搏量增多。初步结果表明,对某些多发的顽固性室性早搏,射频消融能提供一种良好的治疗手段。
Twelve patients with frequent and symptomatic premature ventricular complexes (VPCs)refractory to antiarrhythmic agents were treated with radiofrequency catheter ablation (RFCA). With paci-ng techniques the ectopic foci were located in the right ventricular outflow tract in eleven cases and in the left ventricle in one patient. VPCs were abolished in eight patients and greatly reduced in three cases,remained unchanged in one patient. The RFCA procedures were without any complications. The period of 6-17 months' follow-up study showed the patients were free from VPCs. The present study indicates RFCA can offer an effective treatment method for frequent and symptomatic VPCs.
出处
《中国介入心脏病学杂志》
1997年第4期156-158,共3页
Chinese Journal of Interventional Cardiology
关键词
射频消融
室性早搏
治疗
Radiofrequency ablation Premature ventricular complexes