概括
慢性捆绑分支阻塞和长时间的H-V间隔 (≥80毫秒) 的患者在有症状的情况下表现出高发病率和死亡率. 无症状患者的病程是良性的,这表明预防性节奏不适合.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
背景情况:
- 慢性捆绑分支阻塞是心脏病患者的常见发现.
- H-V 间隔延长表明传导系统有重大疾病.
研究的目的:
- 为了评估慢性捆绑分支块患者中长时间的H-V间隔的临床意义.
- 为了确定预后影响和指导节奏决策.
主要方法:
- 对388名患有慢性捆绑分支块的患者进行前性电生理学研究.
- 对H-V间隔,患者功能类和长期随访的分析.
- 评估发病率,死亡率和需要永久节奏的需要.
主要成果:
- 18名患者 (4.6%) 的H-V间隔≥80毫秒.
- 有症状的患者 (13) 患病率和死亡率高.
- 无症状患者 (5) 仍然活着,没有心脏起器,良性临床过程.
结论:
- 标记H-V延长与症状心脏病患者的不良结果有关.
- 无症状患者,H-V间隔长,预后较好.
- 预防性节奏可能不适用于症状或无症状组.
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