对于心房动的消化和节奏治疗后的临床结果:一个元分析
M A Wood1, C Brown-Mahoney, G N Kay
1Virginia Commonwealth University/Medical College of Virginia, Richmond, VA 23298-0053, USA.
Circulation
|March 15, 2000
概括
射频移除和节奏显著改善生活质量,并减少心房患者的医疗保健使用. 这种疗法显示出较低的1年死亡率,与医疗管理相比.
科学领域:
- 心脏病学 心脏病学
- 电力生理学 电力生理学
- 医疗干预 医疗干预
背景情况:
- 心房的管理往往涉及心房节的射频切除和耐火病例的永久节奏.
- 这些干预措施旨在为患有持续性心房节拍不良的患者提供症状缓解.
研究的目的:
- 为了澄清临床结果和除和节拍治疗后的存活率.
- 从已发表的文献中通过元分析综合数据.
主要方法:
- 用21项研究的数据进行了元分析.
- 纳入标准包括1181名患有医疗耐药性心房节拍不良的患者,主要是心房动.
主要成果:
- 在19个临床结果指标中观察到显著的改善,包括生活质量,心室功能和医疗保健利用率.
- 射出分数显著改善 (P<0.001),而分数缩短显示出改善的趋势 (P=0.08).
- 一年死亡率为6.3%的总死亡和2.0%的突然心脏病死亡.
结论:
- 除和节奏治疗为医疗不耐药的心房动患者提供了广泛的临床益处.
- 与这种治疗方法相关的1年死亡率很低,与传统医疗疗法相比.
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