重庆医学Issue(19):2646-2648,3.DOI:10.3969/j.issn.1671-8348.2015.19.019
房性心律失常导管消融治疗围术期血管迷走神经反射的防治研究
The treatments of perioperative vascular vagus reflex in CARTO guided radiofrequency ablation in the treatment of atrial arrhythmia
柴虹 1钟理 1舒茂琴 1李华康 1朱平 1宋治远 1蒋周芹1
作者信息
- 1. 第三军医大学西南医院心血管内科,重庆400038
- 折叠
摘要
Abstract
Objective To investigate the effective therapic methods of the perioperative vasovagal reflex(RV)in patients with atrial arrhythmias(AAs)underwent by catheter ablation .Methods The clinical data in the patients with atrial arrhythmias(AAs) complicated by vasovagal reflex(RV)were retrospectively analyzed during the perioperative procedure of catheter ablation guided by three dimensional mapping system CARTO ;the clinical data were compared between patients with RV and without RV .Results A total of 535 patients with AAs underwent catheter ablation guided by three dimensional mapping system were collected from Janu‐ary 2010 to December 2012 ,and 35 cases of intraoperative RV were found .Compared by patients without RV ,the patients with RV had more elderly cases and the cases of hypertension ,coronary heart disease and diabetes .The RV occurrence was also associated with the fasting ,painful stimuli ,operation time and skill .Conclusion The perioperative RV often is occurred in the cases of high risk and have the precipitating factors ,and the good prognosis could be obtained by the detect and treatment as early as possible .关键词
血管迷走神经反射/房性心律失常/导管消融Key words
vasovagal reflex/atrial arrhythmia/catheter ablation分类
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柴虹,钟理,舒茂琴,李华康,朱平,宋治远,蒋周芹..房性心律失常导管消融治疗围术期血管迷走神经反射的防治研究[J].重庆医学,2015,(19):2646-2648,3.