经皮间隔心肌消融术治疗梗阻性肥厚型心肌病的近期疗效观察.pdfVIP

新疆医科大学学报 JOURNAL OF XINJIANG M EDICAL UNIVERSITY 2005 Dec. , 28( 12) 1149 * 班努# 库肯 , 马依彤 ( , 830054) : 目的: ( PTSMA) ( H OCM) 方法: 2000 7 6 H OCM PT SM A , 3 , ( LVOT G) 结果: 6 PTSM A , , Ñ~ ÒLVOT G ( 94.0 ? 40. 8) mmHg, ( 33. 7? 18. 7) mmH g, 3 ( 32. 5 ? 12. 9) mmH g, ( P 0.05) (25. 6 ? 7. 3) mm, 1 ( 19. 7 ? 3. 8) mm, 3 ( 15. 5? 4. 2) mm, 3 , (P 0.05) 1 Ób , 2 , 2 结论: PT SMA H OCM , , : ; ; : R815; R542. 2 : A : 1009-5551( 2005) 12- 1149-03 Acute results of percutaneous transluminal septal myocardial ablation for hypertrophic obstructive cardiomyopathy Bannu# kuken,MA Yi-tong ( Dep artment of Cardiovascular , F irst Af f iliated H osp ital , X inj iang Med ical University , Urumqi 830054, C ina) Abstract:Objective: To evaluate efficiency and safety of PT SMA in 6 patients. Methods: 6 patients w it HOCM underw ent PT SMA by Sigw art met od. T e t ickness of septal myocardium and LVOTG w ere measured before and 3mont s after PTSMA. Results: A ll t e patients s ow ed clinical improvement, NY- HA Ñ~ Ò, LVOT G reduction w as ac ieved in all t e patients, t e mean reduction from ( 94 ? 40. 8) mm- H g to ( 33. 7 ? 18. 7) mmH g after PT SMA and ( 32. 5 ? 12. 9) mmHg after 3 mont s (P 0. 05) . IV S reduc- tion from ( 25. 6 ? 7. 3) mm to( 19. 7 ? 3. 8) mm after PT SMA and( 15. 5 ? 4. 2) mm after 3 mont s ( P 0. 05) . Óbatrioventricular block and recovered in 2 in 1 case, 2 patients occurrenced permanent rig t bundle branc block in 2 cases. onclusion: PTSMA is an effective tec nique for reduction LVOTG and symptoms in HOCM , long term observation of larger series are necessary in order to determine t