心脏移植患者术后心电图特征70例分析

摘要

Objective:To explore the postoperative electrocardiogram characteristics and its clinical significance in patients who had undergone orthotopic heart transplantation with double vena cava anastomosis .Methods :The electrocardiogram results of 70 patients during postoperative follow‐up ,who underwent orthotopic heart transplantation with double vena cava anastomosis in Zhongshan Hospital ,Fudan University from 2009 to 2012 ,were retrospectively analyzed .Results:The patients’ average ventricular rate was a bit faster than normal after operation ,and the common phenomena of electrocardiogram were non‐ischemic ST‐T changes ,increasing P terminal force in lead V1(Ptfv1) and incomplete right bundle branch block(IRBBB) .The rare phenomena such as slow ventricular rate ,ischemic ST‐T changes and arrhythmia ,however ,indicated poor prognosis . Conclusions : The postoperative electrocardiogram characteristics in patients who have undergone orthotopic heart transplantation with double vena cava anastomosis are conducive to predicting the patients ’ prognosis .%目的：探讨采用双腔静脉吻合术行原位心脏移植的患者术后心电图的特征和临床意义。方法：回顾分析2009—2012年在复旦大学附属中山医院采用双腔静脉吻合术行原位心脏移植的70例患者的术后随访心电图检查结果。结果：患者术后的平均心室率较快，心电图表现多见非缺血性ST‐T改变、V1导联P波终末电势（P terminal force in lead V1，Ptfv1）增大和不完全性右束支阻滞。偶见的心室率缓慢、缺血性ST‐T改变及心律失常等现象则提示预后不良。结论：对于采用双腔静脉吻合术行原位心脏移植的患者，术后心电图的特征性表现有助于判断患者的预后。