摘要
目的探讨心力衰竭患者基础肾功能与心脏再同步化治疗(CRT)疗效的关系。方法 21例CRT患者按肾小球滤过率>60和<60 ml.min-1.1.73 m-2分为A、B组。术前评估患者的心功能、临床症状及超声参数。术后3个月、6个月再次评估上述指标。结果 A组术后心功能、临床症状、超声指标改善,B组有改善,但未达统计学意义。A组术后一周收缩压升高,而B组无变化,A组术后一周收缩压高于B组,舒张压两组术前、术后无差异。结论基础肾功能较好的患者,对CRT反应较好。
Objective To investigate the effects of cardiac resynchronization therapy （CRT） and basic renal function. Methods Twenty-one CRT recipients were studied. Before CRT, the clinical and eehocardigraphic evaluation was per- formed. At baseline, patients with glomerular filtration rate 〉 60 or 〈 60 （ ml min -1 . 1.73 m -2 ） were classified as group A or group B. At 3 months and 6 months after CRT, NYHA cardiac function classification, clinical and echocardigraphic evaluation was performed again. Results After CRT, the NYHA, the clinical symptoms and echocardigraphic index were improved of group A. The parameters of group B also changed, but didn＇t reach statistical difference. One week after CRT, the systolic blood pressure increased and was higher than that of group B; the diastolic blood pressure had no change between the two groups. Conclusion Patients of chronic heart failure with better basic renal function seem to have better response to CRT.
出处
《中国心脏起搏与心电生理杂志》
2012年第1期26-28,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
肾功能
肾小球滤过率
收缩压
疗效
Cardiology
Cardiac resynchronization therapy
Basic renal function
Glomerular filtration rate
Systolic blood pressure
Curative effect
