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心脏起搏对慢性房颤并心力衰竭患者血浆脑利钠肽的影响
引用本文:梅益斌,考验,季乃军,王成尧. 心脏起搏对慢性房颤并心力衰竭患者血浆脑利钠肽的影响[J]. 心血管康复医学杂志, 2008, 17(3): 265-266
作者姓名:梅益斌  考验  季乃军  王成尧
作者单位:丽水市人民医院,浙江,丽水323000
摘    要:目的:研究VVI起搏对慢性房颤合并心力衰竭患者血浆脑利钠肽(BNP)水平的影响及其临床意义。方法:67例患者被分为VVI起搏组(48例)和未起搏组(19例),术前测血浆BNP值,术后3~6月随访测血浆BNP。比较两组患者BNP浓度差异。结果:起搏组术后BNP水平较未起搏组低[(129.21±31.57)pg/ml:(150.43±35.71)pg/ml,P〈0.05]。结论:VVI起搏未引起慢性房颤合并心力衰竭患者的BNP水平增高,对此类患者的心脏功能影响较小,或有助益。

关 键 词:心房颤动  心力衰竭  充血性  利钠肽    心脏起搏  人工

Effect of VVI pacing on plasma brain natrturetic peptide level in patients with chronic atrial fibrillation and chronic heart failure
MEI Yi-bin,KAO Yan,JI Nai-jun,WANG Cheng-yao. Effect of VVI pacing on plasma brain natrturetic peptide level in patients with chronic atrial fibrillation and chronic heart failure[J]. Chinese Journal of Cardiovascular Rehabilitation Medicine, 2008, 17(3): 265-266
Authors:MEI Yi-bin  KAO Yan  JI Nai-jun  WANG Cheng-yao
Affiliation:( Department of Cardiology, Lishui Municipal Hospital, Lishui, Zhejiang, 323000, China )
Abstract:Objective:To study the effect of VVI pacing on the brain natriuretic peiptide(BNP)level in patients with chronic atrial fibrillation(CAF)and chronic heart failure(CHF).Methods:The 67 patients with CAF and CHF were divided into VVI pacing group(48 cases)and no pacing group(19 cases).BNP were measured before pacing operetion and 3 to 6 months after the operation.Results:BNP level increased significantly 3 to 6 months later in no pacing group and more than that of VVI group(P<0.05 all),while no significant changes were found in VVI group.Conclusion:VVI pacing has no significant effect no the BNP level in patients with CAF and CHF.
Keywords:Atrial fibrillation  Heart failure  congestive  Natriuretic peptide  brain  Heart pacing  artificial
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