中国医学创新2016，Vol.13Issue(21)：14-17,4.DOI:10.3969/j.issn.1674-4985.2016.21.004
巨大室间隔矛盾位移度预测终末期心衰患者再同步化治疗无应答的发生
Huge Intervascular Septum Contradiction Shift Highly Predicts No-response to Cardiac Resynchronization Therapy of Patients Suffering from End-stage Heart Failure
摘要
Abstract
Objecive:To identify if huge interventricular septum contradiction shift could be a new criteria of predicting no-response to cardiac resynchronization therapy(CRT) in the end-stage of heart failure.Method:We retrospectively reviewed 19 patients received a CRT device in our hospital and analyzed different contradiction shift distance relating to the response of CRT.Besides,some echocardiography index including LVEF,RVEF,etc were evaluated pre-CRT,post-CRT and during the follow up.The cardiovascular mortality,six monthes rehospitalization rate and CRT response rate were also confirmed at the same time. Result:Nineteen patients enrolled,ten of them responsed to CRT while nine of them showed no response to CRT. Multivariate analysis showed that interventricular septum contradiction shift distance was independent predictors of no-response to CRT in the end-stage heart failure patients.There was statistical difference in the cardiovascular mortality(P<0.05),six month rehospitalization rate and CRT response rate between the groups termed by huge interventricular septum contradiction shift.Conclusion:Interventricular septum contradiction shift distance is highly related to the response to CRT in the patients suffering from terminal stage of heart failure.It will be a new predictor to CRT response.关键词
心脏再同步化治疗/心衰/巨大室间隔矛盾运动位移度Key words
Cardiac resynchronization therapy/Heart failure/Huge interventricular septum contradiction shift distance引用本文复制引用
郭鹏,刘日辉,李玲..巨大室间隔矛盾位移度预测终末期心衰患者再同步化治疗无应答的发生[J].中国医学创新,2016,13(21):14-17,4.基金项目
辽阳市科学技术课题 （）
