Radiofrequency catheter ablation of premature ventricular contractions of 72 cases of refractory.doc

 PAGE \* MERGEFORMAT 10 Radiofrequency catheter ablation of premature ventricular contractions of 72 cases of refractory Of: Li Haiying, Huang Jian, Lin Jie, Wu Gaojun, Chen Tat [Abstract] Objective: To evaluate the radiofrequency catheter ablation of refractory premature ventricular contractions (PVCs) in the treatment effectiveness and safety. METHODS: frequency, symptoms, quality of heart disease, premature ventricular contractions without control, can not tolerate drugs 72 patients treated, 24 h ambulatory electrocardiogram showed PVCs (17 809 + -798) times / 24 h, ventricular premature outflow of which 69 cases of idiopathic left ventricular tachycardia in 2 cases, left free wall ventricular premature one case , underwent radiofrequency catheter ablation. Results: 72 cases as early as the first ablation, Room 68 (94.4%); room early in the outflow tract and right ventricular outflow tract in 60 cases, the first ablation (59 cases accounted for 98.3%) of postoperative femoral artery hematoma in 1 case. 3 cases of recurrence during follow-up, the recurrence rate was 4.28%. ablation dynamic ECG one month after the PVCs (348 + -79) times / 24 h (P lt;0.01). follow-up period without adverse effects and serious complications. Conclusion: Patients with refractory PVCs, radiofrequency catheter ablation for the implementation of a safe, effective and feasible treatment. [Keywords:] premature ventricular contractions; radiofrequency ablation Radiofrequency catheter ablation of supraventricular tachycardia surgery can be used as first-line treatment [1], but whether radiofrequency catheter ablation therapy as an alternative to ventricular premature beats (PVCs) are still controversial [2]. A study that, for frequently, symptoms, quality of heart disease without ventricular premature device and can not tolerate the persistence of drug therapy in patients with PVCs, radiofrequency catheter ablation can be used as first-line treatment [3]. now 72 patients in