【摘要】 目的探讨心律失常患者射频消融术同时联合冠状动脉造影术的临床意义。方法对21例心律失常同时伴有不典型胸闷、心电图ST段压低改变的患者,在射频消融术同时联合冠状动脉造影术,进一步分析手术策略、造影结果及临床资料。结果本组所有患者均成功完成冠状动脉造影术与射频消融术的联合介入治疗,其中阵发性室上性心动过速16例、特发性左室室性心动过速3例,频发单形性室性早博2例。冠状动脉造影结果显示,33%的患者存在不同程度的冠状动脉粥样硬化病变,冠状动脉造影术阳性组与阴性组的心血管危险因素积分比较有明显差异(P<0.05)。结论射频消融术同时联合行冠状动脉造影术安全可行,更有利于心律失常的综合防治。更多还原

【Abstract】 Objective To explore the clinical significance of radiofrequency catheter ablation combined with coronary artery angiography simultaneously in arrhythmia patients.Methods The radiofrequency catheter ablation combined with coronary artery angiography was performed in twenty one arrhythmia patients with atypical chest pain and ST segment depression.The result of angiography,the strategy of operation and the clinical data were analyzed.Results The radiofrequency catheter ablation combined with coronary artery angiography was successfully performed in all patients,including sixteen patients with paroxysmal supraventricular tachycardia,three patients with idiopathic left ventricular tachycardia and two patients with frequency monomorphic ventricular premature beats.The result of angiography showed that thirty three percent of patients had atherosclerosis lesion with different extent in the coronary artery.There was a statistical significance for the cardiovascular risk factor scores between the positive group and negative group in the angiography(P<0.05).Conclusions The radiofrequency catheter ablation combined with the coronary artery angiography appeared to be safe and feasible,and would be helpful to comprehensive prevention and treatment for the arrhythmia disease.更多还原