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心脏再同步化治疗患者的死亡原因分析 被引量：3

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摘要 心脏再同步化治疗(CRT)能够改善心力衰竭(简称心衰)患者的预后,而接受CRT的患者大约仍有30%对CRT反应差,而且具有较高的死亡率。研究显示心衰恶化(也称泵衰竭)和致命性心律失常引起的心源性猝死是CRT术后患者两大主要死亡原因;高龄、男性、右束支传导阻滞、缺血性心肌病、术前心衰的严重程度、合并有高血压、糖尿病、肾功能不全、阵发性心房颤动等病史以及术后3～6个月未发生心室重构逆转等是CRT死亡的影响和预测因素。对这些因素进行及时的评估和有效的干预,可能会提高CRT的疗效,进一步降低患者死亡率。
作者 谢上才 金炜
机构地区 上海交通大学附属上海市第一人民医院心内科
出处 《中国心脏起搏与心电生理杂志》 北大核心 2011年第2期164-166,共3页 Chinese Journal of Cardiac Pacing and Electrophysiology
关键词 心血管病学 心脏再同步化治疗 综述 心力衰竭 死亡率 死亡原因 心源性猝死
分类号 R318.11 [医药卫生—生物医学工程] R541.61 [医药卫生—心血管疾病]
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参考文献29

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二级参考文献21

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共引文献20

同被引文献26

  • 1沈法荣,王志军,陈建明,黄抒伟,凌锋,俞尉,陈旭姣,吕锋,何仁良,夏瑜.心脏再同步化治疗中经胸心外膜起搏导线的植入技术[J].心电学杂志,2007,26(1):29-31. 被引量：3
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引证文献3

二级引证文献4

中国心脏起搏与心电生理杂志
2011年 第2期

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