体外反搏与心功能保护-课件，幻灯，PPTPPT.ppt

体外反搏与心功能保护;心力衰竭治疗存在的问题;心力衰竭的非药物治疗;体内反搏 （IABP）;1962年，USA 液压水囊式体外反搏 非序贯式加压 笨重，体积大 未能推广;体外反搏装置－系统工作原理;体外反搏的作用原理;血流动力学效应;Michaels AD, et al. Circulation 2002; 106: 1237-42.;Katz WE, et al. J Am Coll Cardiol 1998;31Suppl(2):85A(825-31);Scanning Electron Micrographs;体外反搏改善内皮依赖的血管舒张能力;NO crosses intimal to Smooth Muscular Cells;体外反搏治疗后心肌血流灌注明显改善;Capillary Density ?;Cardiology 2008;110:160-166;改善神经体液因子;Blood Pressure / Myocardial Oxygen Consumption;Nat Clin Pract Cardiovasc Med 2006;3(11):623-32;Demographic;CAD Patients with History of CHF;2-year follow-up for Patients with LVD (EF ?35%);PEECH? TrialProspective Evaluation of EECP in Congestive Heart Failure;;;N;PEECH: Results of Primary End-points;PEECH: Changes in Exercise Duration and Peak VO2; EECP Control;PEECH: Subjects with Ischemic Etiology;EECP;35.8;PEECH: Peak VO2;Cost effectiveness;PEECH研究结论;体外反搏作用机理;体外反搏干预心力衰竭发生机制的诸多重要环节 ;谢谢