中国实用儿科杂志2012，Vol.27Issue(2)：112-114,3.
小儿经皮室间隔缺损封堵术后非阵发性室性心动过速临床意义分析
Accelerated idioventricular rhythm after percutaneous transcatheter closure of ventricular septal defect in children
摘要
Abstract
Objective To summarize incidence rate, clinical significance and mechanism of accelerated idioventricular rhythm (AIVR) after transcatheter closure of ventricular septal defect (VSD) in children. Methods From Oct.2002 to May 2011, 1179 children with VSD underwent percutaneous transcatheter closure. All patients received electrocardiogram and 24h dynamic electrocardiogram after transcatheter closure. Totally 1392 outpatients that received 24 h dynamic electrocardiogram examination and 988 children with ASD who underwent transcatheter closure were assigned as two control groups.The difference of AIVR incidence rate was compared between VSD transcatheter closure group and control groups. Seventeen cases developed AIVR after transcatheter closure of VSD, but no one had subjective symptoms.Nine cases were treated with methylprednisolone, albumin and creatine phosphate sodium and the other 8 cases had no therapy .All the 17 children with AIVR received follow-up study. Results The incidence rate of AIVR in transcatheter VSD closure group was higher than in control groups.Based on the first-month holter monitoring electrocardiogram, all the 17 AIVR cases after transcatheter VSD closure recovered to normal, whether they receive treatment or not.And in the follow-up study, there were no adverse medical events. Conclusion AIVR incidence with transcatheter closure of VSD is higher than other patients.The mechanism of AIVR is closely related to the procedure of transcathter'VSD closure.AIVR after transcatheter VSD closure is a benign arrhythmia that perhaps needs not treat ment.关键词
室间隔缺损,先天性/非阵发性室性心动过速/封堵器/心导管术/心律失常Key words
ventricular septal defect/ accelerated idioventricular rhythm/ occluder/ cardiac catheterization/ arrhythmia分类
医药卫生引用本文复制引用
王树水,曾国洪,张智伟,李渝芬,钱明阳,李俊杰,石继军,谢育梅,潘微..小儿经皮室间隔缺损封堵术后非阵发性室性心动过速临床意义分析[J].中国实用儿科杂志,2012,27(2):112-114,3.基金项目
国家十一五科技支撑计划项目(编号2007BAI05B03) （编号2007BAI05B03）
