目的 探讨心外科手术与QT间期变化的关系。方法 回顾性分析57例心外科手术和9例大型非心外科手术患者年龄、手术时间、术前QTc、术后QTc、QTc差值的差异性及相关性分析。结果 术中应用体外循环组术后QTc长于非体外循环组。非心外科手术和心外微创手术组QTc差值小于心外科其他手术组。冠脉搭桥数目增多时,术后QTc以及QTc差值也较大。心外手术组手术时间和术后QTc显著相关。结论 心外科手术可引起QT间期较术前延长,特别是在手术时间较长、采用体外循环、冠脉搭桥数目较多时,可引起获得性LQTS的发生。
El-Sherif Nabil,Turitto Gioia,Boutjdir Mohamed.Acquired Long QT Syndrome and Electrophysiology of Torsade de Pointes.[J].Arrhythmia & electrophysiology review,2019.
El-Sherif Nabil,Turitto Gioia,Boutjdir Mohamed.Acquired long QT syndrome and torsade de pointes.[J].Pacing and clinical electrophysiology : PACE,2018.
Eleftherios M. Kallergis,Christos A. Goudis,Emmanuel N. Simantirakis,George E. Kochiadakis,Panos E. Vardas.Mechanisms, Risk Factors, and Management of Acquired Long QT Syndrome: A Comprehensive Review[J].The Scientific World Journal,2012.
Drew Barbara J,Ackerman Michael J,Funk Marjorie,Gibler W Brian,Kligfield Paul,Menon Venu,Philippides George J,Roden Dan M,Zareba Wojciech.Prevention of torsade de pointes in hospital settings: a scientific statement from the American Heart Association and the American College of Cardiology Foundation.[J].Circulation,2010.
De Bruin Marie L,Langendijk Pim N J,Koopmans Richard P,Wilde Arthur A M,Leufkens Hubert G M,Hoes Arno W.In-hospital cardiac arrest is associated with use of non-antiarrhythmic QTc-prolonging drugs.[J].British journal of clinical pharmacology,2007.
Montanez Alicia,Ruskin Jeremy N,Hebert Patricia R,Lamas Gervasio A,Hennekens Charles H.Prolonged QTc interval and risks of total and cardiovascular mortality and sudden death in the general population: a review and qualitative overview of the prospective cohort studies.[J].Archives of internal medicine,2004.
获得性长QT间期综合征的防治建议[J].中国心脏起搏与心电生理杂志,2010(06).
谢立新,肖永祺.法洛四联症根治术后长QT综合征1例[J].新医学,2010(05).
0
浏览量
75
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621