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[窦性心律对心室功能的意义]

[Significance of sinus rhythm for ventricular function].

作者信息

Panikian G, Urumov G, Ovanesian Kh, Daskalov T

出版信息

Vutr Boles. 1978;17(4):34-41.

PMID:695530
Abstract

The changes in hemodynamics in conditions of dosed loading prior to and post cardioversion were followed up in 21 patients with valvular defects or atherosclerotic myocardiosclerosis and absolute arrhythmia with auricular fibrillation. In conditions of auricular fibrillation all the patients showed data about a deteriorated ventricular function (increased arterial-venous difference--tachycardia), both at rest and at dosed loading. One week after the sinus rhythm restoration, a considerable improvement of ventricular function was observed, at rest and loading (normal arterial-venous difference, higner minute and beat volume), suggesting the favourable effect of the restored sinus activity. The improved ventricular function is due to the restored auricular contraction, together with the restoration of rhythmic cardiac activity.

摘要

对21例瓣膜缺损或动脉粥样硬化性心肌硬化并伴有房颤的绝对心律失常患者,在心脏复律前后进行了定量负荷状态下血流动力学变化的随访。在房颤状态下,所有患者在静息和定量负荷时均显示心室功能恶化的数据(动静脉压差增加——心动过速)。窦性心律恢复一周后,观察到静息和负荷时心室功能有显著改善(动静脉压差正常,每分输出量和搏出量增加),提示恢复窦性活动有良好效果。心室功能的改善归因于心房收缩的恢复以及心脏节律性活动的恢复。

相似文献

1
[Significance of sinus rhythm for ventricular function].[窦性心律对心室功能的意义]
Vutr Boles. 1978;17(4):34-41.
2
[Effect of cardioversion of atrial fibrillation on left ventricular function in dilated cardiomyopathy. A multicenter study].[心房颤动复律对扩张型心肌病左心室功能的影响。一项多中心研究]
Arch Mal Coeur Vaiss. 1990 Jan;83(1):15-21.
3
[The influence of electrical cardioversion on left ventricular systolic function, left atrial size, ANP levels and enzymatic activity of CPK and CD-MB in serum of patients with paroxysmal atrial fibrillation].[电复律对阵发性心房颤动患者左心室收缩功能、左心房大小、血清中ANP水平及CPK和CD-MB酶活性的影响]
Przegl Lek. 1997;54(9):585-90.
4
[Relationship between the cardiovascular function parameters in patients with auricular fibrillation before and after restoration of the sinus rhythm].心房颤动患者窦性心律恢复前后心血管功能参数的关系
Vrach Delo. 1974 Jun(6):27-31.
5
Atrial fibrillation: rate control often better than rhythm control.心房颤动:心率控制通常优于节律控制。
Prescrire Int. 2004 Apr;13(70):64-9.
6
Echocardiographic evaluation of left ventricular function before and after cardioversion of atrial fibrillation to normal sinus rhythm.
Med Interne. 1983 Oct-Dec;21(4):279-83.
7
Functional capacity of patients with atrial fibrillation and controlled heart rate before and after cardioversion.房颤且心率得到控制的患者在复律前后的功能能力。
Can J Cardiol. 1992 Nov;8(9):941-6.
8
Left ventricular dysfunction in atrial fibrillation: restoration of sinus rhythm by the Cox-maze procedure significantly improves systolic function and functional status.心房颤动中的左心室功能障碍:Cox迷宫手术恢复窦性心律可显著改善收缩功能和功能状态。
Ann Thorac Surg. 2006 Aug;82(2):494-500; discussion 500-1. doi: 10.1016/j.athoracsur.2006.03.075.
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Impact of sinus rhythm restoration and maintenance on left ventricular function and exercise tolerance in patients with persistent atrial fibrillation.窦性心律恢复及维持对持续性心房颤动患者左心室功能和运动耐量的影响
Kardiol Pol. 2005 Jul;63(7):36-47; discussion 48-9.
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Improvement in exercise performance after successful cardioversion in patients with persistent atrial fibrillation and symptoms of heart failure.持续性心房颤动且有心力衰竭症状的患者成功复律后运动能力的改善。
Kardiol Pol. 2003 Sep;59(9):213-23.