浙江医学2011,Vol.33Issue(11):1596-1598,3.
心脏再同步化治疗患者术后反应的比较研究
Pharmacological treatment in patients with cardiac resynchronization therapy
何浪 1王志军 1金红峰 1钟诚 1孙国建 1陈建明 1沈法荣1
作者信息
摘要
Abstract
Objective To investigate anti- heart failure pharmacologic treatment in patients with cardiac resynchronization therapy. Methods The clinical data of 102 patients undergoing cardiac resynchronization therapy were retrospectively analyzed. Patients were divided into response group and non- response group. The dosage of anti- heart failure drugs, the NYHA class, left ventricular ejection fraction (LVEF) and left ventricular end diastolic diameter (LVEDD) were compared between two groups. Results There were 86 patients in response group and 16 patients in non- response group. Dosage of ACEI/ARB, beta blockers, diuretics and digoxin in response group were all increased. Patients assigned to ACEI+beta blockers with increasing- dose group experienced a greater improvement in NYHA class, LVEF and LVEDD than those in non- drug group. Conclusion CRT can improve effectiveness of drug therapy in patients with chronic congestive heart failure; meanwhile the drug dosage need to be adjusted after CRT.关键词
慢性充血性心力衰竭/心脏再同步化起搏/药物治疗Key words
Chronic congestive heart failure/Cardiac resynchronization therapy/Pharmacologic therapy引用本文复制引用
何浪,王志军,金红峰,钟诚,孙国建,陈建明,沈法荣..心脏再同步化治疗患者术后反应的比较研究[J].浙江医学,2011,33(11):1596-1598,3.