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现代影像学技术在心脏再同步治疗患者选择中的临床应用及其前景 被引量：1

The role of modern imaging techniques in patient selection for cardiac resynchronization therapy
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摘要 循证医学证实，心脏再同步治疗（cardiac resynchroniza—tiontherapy，CRT）在心力衰竭的现代化治疗中具有十分重要的地位，不仅能显著降低中到重度心力衰竭患者的发病率和死亡率，还能延缓轻度或无症状心力衰竭患者的病情进展．[1-5]美国心力衰竭治疗指南目前将心功能Ⅲ～Ⅳ级（NYHA分级）、左心室射血分数（LVEF）≤0．35、QRS时限≥120ms作为CRT患者入选的主要标准[6]。
作者 万征 杜鑫
机构地区 天津医科大学总医院心血管病中心 牛津大学John Radcliffe医院心脏中心
出处 《中华心律失常学杂志》 2011年第2期119-123,共5页 Chinese Journal of Cardiac Arrhythmias
关键词 心脏再同步治疗 心力衰竭患者 现代影像学技术 临床应用 左心室射血分数 NYHA分级 QRS时限 循证医学
分类号 R541.6 [医药卫生—心血管疾病]
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参考文献40

  • 1Anand IS, Carson P, Galle E, et al. Cardiac resynchronization ther- apy reduces the risk of hospitalizations in patients with advanced heart failure : results from the Comparison of Medical Therapy, Pa- cing and Defibrillation in Heart Failure (COMPANION) trial. Cir- culation,2009,119 : 969 -977.
  • 2Moss A J, Hall WJ, Cannom DS, et al. Cardiac-resynehronization therapy for the prevention of heart-failure events. N Engl J Med, 2009,361:1329-1338.
  • 3St John Sutton M, Ghio S, Plappert T, et al. Cardiac resynchroniza- tion induces major structural and functional reverse remodeling in patients with New York Heart Association class I / lI heart failure. Circulation, 2009,120 : 1858-1865.
  • 4Daubert C, Gold MR, Abraham WT, et al. Prevention of disease progression by cardiac resynchronization therapy in patients with a- symptomatic or mildly symptomatic left ventricular dysfunction : in- sights from the European cohort of the REVERSE ( Resynchroniza- tion Reverses Remodeling in Systolic Left Ventricular Dysfunction) trial. J Am Coil Cardiol,2009,54 : 1837-1846.
  • 5Lubitz SA,Leong-Sit P,Fine N,et al. Effectiveness of cardiac re- synchronization therapy in mild congestive heart failure:systematic review and meta-analysis of randomized trials. Eur J Heart Fail, 2010,12:360-366.
  • 6Hunt S A,Abraham WT. Chin MH, et al. 2009 Focused Update In- corporated Into the ACC/AHA 2005 Guidelines for the Diagnosis and Management of Heart Failure in Adults : A Report of the Amer- ican College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines Developed in Collaboration with the International Society for Heart and Lung Transplantation. J Am Coil Cardio1,2009,53 :el-e90.
  • 7Chung ES, Leon AR, Tavazzi L, et al. Results of the Predictors of Response to C RT(PROSPECT) trial. Circulation, 2008,117:2608- 2616.
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同被引文献27

  • 1Mollema SA,Bleeker GB,Van der Wall EE.Usefulness of QRS duration to predict response to cardiac resynchronization therapy in patients with end-stage heart failure[J].Am J Cardiol,2007,100(11):1665-70.
  • 2Auger D,Bertini M,Marsan NA,et al.Prediction of response to cardiac resynchronization therapy combining two different threedimensional analyses of left ventricular dyssynchrony[J].Am J Cardiol,2011,108(5):711-7.
  • 3Van de Veire NR,Yu CM,Ajmone-Marsan N,et al.Triplane tissue Doppler imaging:a novel three-dimensional imaging modality that predicts reverse left ventricular remodelling after cardiac resynchronisation therapy[J].Heart,2008,94(3):e9.
  • 4Kleijn SA,Aly MF,Knol DL,et al.A meta-analysis of left ventricular dyssynchrony assessment and prediction of response to cardiac resynchronization therapy by three-dimensional echocardiography[J].Eur Heart J Cardiovasc Imaging,2012.[Epub ahead of print].
  • 5Russo C,Jaubert MP,Jin Z,et al.Intra-and Interobserver Reproducibility of Left Ventricular Mechanical Dyssynchrony Assessment by Real Time Three-Dimensional Echocardiography[J].Echocardiography,2012.[Epub ahead of print].
  • 6Tatsumi K,Tanaka H,Tsuji T,et al.Strain dyssynchrony index determined by three-dimensional speckle area tracking can predict response to cardiac resynchronization therapy[J].Cardiovasc Ultrasound,2011,9:11.
  • 7Tatsumi K,Tanaka H,Matsumoto K,et al.Mechanical left ventricular dyssynchrony in heart failure patients with narrow QRS duration as assessed by three-dimensional speckle area tracking strain[J].Am J Cardiol,2011,8(6):867-72.
  • 8Bilchick KC,Dimaano V,Wu KC,et al.Cardiac magnetic resonance assessment of dyssynchrony and myocardial scar predicts function class improvement following cardiac resynchronization therapy[J].JACC Cardiovasc Imaging,2008,1(5):561-8.
  • 9Marsan NA,Westenberg JJ,Tops LF,et al.Comparison between tissue Doppler imaging and velocity-encoded magnetic resonance imaging for measurement of myocardial velocities,assessment of left ventricular dyssynchrony,and estimation of left ventricular filling pressures in patients with ischemic cardiomyopathy[J].Am J Cardio,2008,102(10):1366-72.
  • 10Mischi M,Kaklidou F,Houthuizen P,et al.Three-dimensional quantification of regional left-ventricular dyssynchrony by magnetic resonance imaging[J].Conf Proc IEEE Eng Med Biol Soc,2011,2011:2646-9.

引证文献1

二级引证文献2

中华心律失常学杂志
2011年 第2期

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