[1]王盼盼 刘玉辉 陈椿.室性期前收缩性心肌病发生及逆转的预测因素[J].心血管病学进展,2020,(12):1251-1254.[doi:10.16806/j.cnki.issn.1004-3934.2020.12.0007]
　WANG Panpan,LIU Yuhui,CHEN Chun.Predictors of Development and Reversal of Premature Ventricular Contractions-Induced Cardiomyopathy[J].Advances in Cardiovascular Diseases,2020,(12):1251-1254.[doi:10.16806/j.cnki.issn.1004-3934.2020.12.0007]
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室性期前收缩性心肌病发生及逆转的预测因素()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2020年12期
页码:
1251-1254
栏目:
综述
出版日期:
2020-12-25

文章信息/Info

Title:
Predictors of Development and Reversal of Premature Ventricular Contractions-Induced Cardiomyopathy
作者:
王盼盼1 刘玉辉1 陈椿 1; 2
(1.南京医科大学研究生院,江苏 南京210000;2.南京医科大学第一附属医院心血管内科,江苏 南京 210029)
Author(s):
WANG Panpan1; LIU Yuhui1; CHEN Chun1; 2
(1.Nangjing Medical University Graduate School,Nanjing 210000,Jiangsu,China;2.Department of Cardiology,The First Affiliated Hospital of Nanjing Medical University,Nanjing 210029 ,Jiangsu,China)
关键词:
室性期前收缩性心肌病; 逆转; 预测因素
Keywords:
Premature ventricular contractions-induced cardiomyopathy;  Reversal;  Predictors
DOI:
10.16806/j.cnki.issn.1004-3934.2020.12.0007
摘要:
室性期前收缩（PVCs）是临床上最常见的室性心律失常之一，部分频发PVCs可诱发PVCs性心肌病。其发生是否与许多因素相关，如PVCs的负荷、QRS波时限、起源部位、无昼夜节律、插入性PVCs、联律间期、体重指数、期前收缩后收缩增强、症状、症状持续时间和男性等。PVCs性心肌病的治疗以导管射频消融治疗为主。成功消融后，影响PVCs性心肌病逆转的因素有：基线负荷大、消融后残余负荷小、QRS波时限短及振幅大、基线左室舒张末期内径相对小以及期前收缩后血压升高等。
Abstract:
Premature ventricular contractions (PVCs) is one of the most common ventricular arrhythmia,and frequent PVCs can result in reversible cardiomyopathy. Risk factors for the development of PVC-induced cardiomyopathy (PVC-ICM) include high PVCs burden,PVCs with longer QRS duration,epicardial origin of PVCs,lack of diurnal variation of PVCs frequency,interpolated PVCs,coupling interval dispersion,body mass index,post-extrasystolic potentiation,longer duration of PVCs exposure,asymptomatic status and male sex. Catheter ablation has emerged as the preferred therapeutic option for most patients with PVC-ICM. After successful ablation,predictors of reversal of PVC-ICM include PVCs burden,QRS duration,QRS amplitude,baseline left ventricular end-diastolic dimension and post-PVCs systolic blood pressure rise.

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备注/Memo

备注/Memo:
通信作者：陈椿，E-mail:chenchunjsnj@163.com
收稿日期：2020-05-13
更新日期/Last Update: 2021-02-22