Predictive value of left ventricular endocardial pacing in percutaneous transluminal septal myocardial ablation of hypertrophic obstructive cardiomyopathy
- VernacularTitle:经股动脉左心室起搏预测梗阻性肥厚型心肌病化学消蚀术即刻疗效
- Author:
Jie REN
;
Zhenlin DAI
;
Junjie ZHANG
- Publication Type:Journal Article
- Keywords:
Cardiac pacing,artificial;
Cardiomyopathy,hypertrophic;
Catheter ablation;
Echocardiography
- From:
Chinese Journal of Interventional Cardiology
1993;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the prognostic value of left ventricular endocardial pacing in percutaneous transluminal septal myocardial ablation(PTSMA)in patients with hypertrophic obstructive cardiomyopathy(HOCM).Methods Fifteen HOCM patients with resting left ventricular outflow gradient(LVOTG)≥30 mmHg and/or stress LVOTG≥50 mmHg were included in this study.Left ventricular endocardial pacing was attempted in the patients 20 minutes before PTSMA.Heamodynamic parameters and LVOTG were monitored during operation and follow up echocardiography was performed 1 month after the operation.Results The mean chickness of the ventricular septals decreased from 22.07?7.85 mm before PTSMA to 17.39?5.79 mm 1 month afterwards(P