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室性早搏患者导管消融前后的Tp-e间期及Tp-e/QT比值

Tp-e interval and Tp-e/QT ratio before and after catheter ablation in patients with premature ventricular complexes.

作者信息

Yayla Çağrı, Özcan Fırat, Aras Dursun, Turak Osman, Özeke Özcan, Çay Serkan, Topaloğlu Serkan

机构信息

Department of Cardiology, Türkiye Yüksek İhtisas Education & Research Hospital, Ankara, Turkey.

出版信息

Biomark Med. 2017 Apr;11(4):339-346. doi: 10.2217/bmm-2016-0263. Epub 2017 Mar 14.

DOI:10.2217/bmm-2016-0263
PMID:28326823
Abstract

AIM

Tp-e/QT ratio is a novel marker of ventricular repolarization. The aim of the study is to evaluate the Tp-e interval and Tp-e/QT ratio before and after radiofrequency ablation (RFA) for patients with frequent premature ventricular complexes (PVCs).

PATIENTS & METHODS: The study included 151 consecutive patients who underwent RFA for treatment of symptomatic frequent PVCs.

RESULTS

Tp-e interval, Tp-e/QT ratio and Tp-e/QTc ratio (all p < 0.001) were significantly different before and after RFA. After the procedure, mean left ventricular ejection fraction of the population were significantly increased than before RFA (p < 0.001). There was a significant correlation between preprocedural Tp-e/QTc ratio and PVC burden in patients (p = 0.023).

CONCLUSION

Our study shows that PVCs may have a negative effect on ventricular repolarization.

摘要

目的

Tp-e/QT比值是心室复极的一种新型标志物。本研究的目的是评估频发室性早搏(PVC)患者在射频消融(RFA)前后的Tp-e间期和Tp-e/QT比值。

患者与方法

本研究纳入了151例因症状性频发PVC接受RFA治疗的连续患者。

结果

RFA前后Tp-e间期、Tp-e/QT比值和Tp-e/QTc比值(均p<0.001)有显著差异。术后,总体人群的平均左心室射血分数较RFA前显著增加(p<0.001)。患者术前Tp-e/QTc比值与PVC负荷之间存在显著相关性(p = 0.023)。

结论

我们的研究表明,PVC可能对心室复极有负面影响。

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