摘要
目的 探讨选择性冠状动脉造影对病态窦房结综合征 (SSS)病因诊断的意义及不同治疗方式对SSS患者预后的影响。方法 对 6 1例在接受起搏器治疗后同时行选择性冠状动脉造影检查的SSS患者随访并进行回顾性分析。结果 6 1例患者中单纯高血压 16例 (2 6 2 % ) ;高血压合并冠心病 15例 (2 4 6 % ) ,单纯冠心病 5例 (8 2 % ) ,不明原因 2 5例 (4 1 0 % )。 2 0例冠心病患者中的 12例(A组 )接受起搏器 +经皮冠状动脉腔内成形术 (PTCA) +支架置入治疗 ,全部病例 6个月后随访无再狭窄 ,心功能改善 ,但窦房结功能无改善 ;另外 8例冠心病SSS患者 (B组 )仅接受起搏器治疗而未行PTCA +支架治疗 ,心功能的改善不及A组 ;4 1例非冠心病的SSS患者 (C组 )仅接受起搏器治疗 ,心功能明显改善。结论 冠状动脉造影有助于SSS患者的病因诊断 ,但冠心病并非SSS的主要病因 ;冠心病所致SSS患者 ,DDD起搏器 +PTCA +支架治疗是理想的治疗方法。
Objective To study the significance of selective coronary angiography on sick sinus syndrom (SSS) and the effects of different therapies on SSS's prognosis Methods Follow up and retrospective analysis were performed in 61 patients with SSS who had pacemaker implantation and selective coronary angiography Results Among 61 patients, 16 (26 2%) cases only had hypertension, 20 (32 8%) were with coronary heart disease (CHD) 25(41 0%) cases were unknown. 12 of 20 CHD patients (Group A) had been treated by pacemaker+PTCA+Sent 6 month follow up showed that no restenosis occurred and cardiac function improved, while the function of sinus node had not been improved 8 of 20 CHD patients (Group B) had been treated by pacemaker only, the improvement of cardiac function in group B was less than that in group A 41 of 61 patients were without CHD and had received pacemaker implantation only (group C) The cardiac function in group C also improved significantly Conclusion Coronary angiography may help the diagnosis of SSS, but CHD may not be the main etiological factor of SSS DDD pacemaker+PTCA+Stent should be the optimal therapy for SSS caused by CHD
出处
《中华心血管病杂志》
CAS
CSCD
北大核心
2002年第10期587-589,共3页
Chinese Journal of Cardiology
