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心脏再同步治疗无应答原因及预防措施 被引量：4

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摘要 心力衰竭（心衰）是危害人类健康的一大杀手,是多种器质性心脏病的晚期表现,严重影响心脏病患者预后和生存率.心脏再同步化治疗（cardiac resynchronizationtherapy,CRT）用于治疗心衰已有10余年,适应证已经从Ⅲ类变为Ⅰ类,越来越多的患者从中获益,但仍有大约30%的患者不能实现临床获益,即置入CRT后患者临床症状无改善,此种现象称为CRT无应答,积极寻找其原因是临床工作者不断探索的目标.本文结合最新的研究进展,从适应证的选择、左室电极置入部位、术后程控、优化药物治疗等方面给予阐述.
作者 张宾 田福利
机构地区 解放军
出处 《中国循证心血管医学杂志》 2013年第2期208-209,共2页 Chinese Journal of Evidence-Based Cardiovascular Medicine
关键词 心脏再同步治疗 无应答 心脏病患者 心脏再同步化治疗 预防 器质性心脏病 临床症状 临床工作者
分类号 R541.6 [医药卫生—心血管疾病]
  • 相关文献

参考文献14

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二级参考文献53

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共引文献37

同被引文献83

  • 1Stevenson WG, Hernandez AF, Carson PE, et al. Indications for cardiac resynchronization therapy: 2011 update from the Heart Failure Society of America Guideline Committee. J Card Fail, 2012, 18:94-106.
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  • 7Baldasseroni S, Opasich C, Gorini M, et al. Left bundle-branch block is associated with increased 1-year sudden and total mortality rate in 5517 outpatients with congestive heart failure: a report from the Italian network on congestive heart failure. Am Heart J, 2002, 143: 398-405.
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  • 9Porciani MC, Cappelli F, Perrotta L, et al. Has mechanical dyssynchrony still a role in predicting cardiac resynchronization therapy response?. Echocardiography, 2010, 27:831-838.
  • 10Gorcsan J 3rd, Yu CM, Sanderson JE. Ventricular resynchronization is the principle mechanism of benefit with cardiac resynchronization therapy. Heart Fail Rev, 2012, 17:737-746.

引证文献4

二级引证文献19

中国循证心血管医学杂志
2013年 第2期

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