摘要
目的:通过临床和射频导管消融治疗预激综合征合并心房颤动患者的急诊处理和导管消融预激旁道的研究,评价临床抗心律失常药物治疗、同步直流电复律、射频导管消融治疗预激综合症合并心房颤动患者的有效性与安全性。方法:28例经过心电图、动态心电图确诊的预激综合征合并心房颤动患者,经过临床抗心律失常药物、同步直流电复律等急诊复律治疗,随后接受射频导管消融治疗,消融预激旁道,达到根治或减少心房颤动,减少心律失常和猝死的风险。结果:28例患者接受药物及同步直流电复律,药物复律成功患者18例,同步直流电复律成功患者10例,无猝死事件发生;所有患者接受射频导管消融治疗,一次消融成功者24例,二次消融成功者3例,1例消融失败患者,拒绝再次手术,临床随访。结论:应用同步直流电复律,胺碘酮、普罗帕酮药物复律是治疗预激综合征合并房颤治疗的临床急诊处理的有效方法,导管射频消融预激旁道可以使患者长期获益。
Objective： To investigate the clinical therapy and radiofrequency catheter ablation in patients wolff-parkinson-white syndrome complicated with atrial fibrillation, to evaluate the efficacy and safy of antiarrhythmia drugs, synchronized cardioversion, radiofrequency catheter ablation in patients wolff-parkinson-white syndrome complicated with atrial fibrillation. Methods： 28 patients （pts） with Wolff-Parkinson-White syndrome （WPW） complicated with atrial fibrillation diagnosised by electrocardiogram, Holter monitoring electrocardiogram were treated by antiarrhythmia drugs, synchronized cardioversion, Radiofrequency Catheter Ablation. After radiofrequency catheeter ablation for their atrioventricular accessory pathways （ AP）, attacking atrial fibrillation and risk of sudden death were decresed. Results： 28 patients were treated by antiarrbytbmia drugs, synchronized cardioversion; 18 patients regained Sinus rhythm by antiarrhythmia drugs, 10 patients regained sinus rhythm synchronized cardioversion. 28 patients were treated by radiofrequency catheter ablation for their atrioventricular accessory pathways, Atrioventricular accessory pathways of 24 patients were ablated successfully once time, Atrioventricular accessory pathways of 3 patients were ablated successfully one more time. one patient refused to be treated by radiofrequency catheter ablation one more time, and was follow-up, Conclusion： It is safe and effective to emergency treatment patients wolff-parkinson-white syndrome complicated with atrial fibrillation in antiarrhythmia drugs, synchronized cardioversion; radiofrequency catheter ablation for AP is benefit for the long-term control of the AF complicated with WPW,
出处
《中国医药导刊》
2008年第5期659-660,共2页
Chinese Journal of Medicinal Guide
关键词
预激综合征
心房颤动
心电描记术
射频消融术
Pre-irritable bowel syndrome
Atrial fibrillation
Electrocardiography
Radiofrequeney ablation
