慢性心力衰竭神经调节治疗技术的应用与研究进展Application and research progress of neuromodulation therapy for chronic heart failure
郭炳辰,唐昊,李光辉,段宇辰,涂应锋
摘要(Abstract):
心力衰竭是大多数心血管疾病的终末期表现,在全球范围内,心力衰竭的负担已增加到约6 400多万人。这些心力衰竭患者在基础药物治疗之后逐步改善预后和生活质量,但由于心力衰竭的复杂性和多样性,与多种危险因素、症状和并发症相关,以及尚未完全了解的病理生理机制,心力衰竭仍具有很高的发病率、住院率和死亡率。近几年来,慢性心力衰竭神经调节治疗技术取得了重大突破,用于治疗自主神经调节功能紊乱和心电活动异常的各种治疗技术正在慢性心力衰竭患者中进行研究。神经调节治疗技术主要用于改善机械不同步和自主神经失衡的电刺激和神经调节两个方面,这些技术包括经导管去肾交感神经术、内脏大神经消融术、迷走神经刺激术、肺动脉去神经术和心脏收缩调节器。本文旨在讨论目前慢性心力衰竭神经调节治疗技术的应用与研究进展。
关键词(KeyWords): 心力衰竭;神经调节治疗;经导管去肾交感神经术;内脏大神经消融术;迷走神经刺激术;肺动脉去神经术;心脏收缩调节器
基金项目(Foundation):
作者(Author): 郭炳辰,唐昊,李光辉,段宇辰,涂应锋
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