导管切除期间的基线心律的预后影响对于心房高心率的导管切除
Ann-Kathrin Kahle1,2, Fares-Alexander Alken1, Katharina Scherschel1,3
1Division of Cardiology, Angiology, Intensive Care Medicine, EVK Düsseldorf, cNEP, cardiac Neuro- and Electrophysiology Research Consortium, Kirchfeldstrasse 40, 40217, Düsseldorf, Germany.
概括
基线节律会影响心房动脉缩结局. 与心房高心率 (AT) 或心房动 (AF) 患者相比,患有鼻节律 (SR) 的患者经历了更短的手术和更好的中期成功率.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 通过心脏切除术 (Cardiac Ablation) 进行心脏切除.
背景情况:
- 在心房动 (AF) 移除后,心房高心率 (AT) 是常见的.
- 导管切除是AF后切除AT的主要治疗方法.
- 最佳的患者选择和程序工作流程需要进一步定义.
研究的目的:
- 根据基线节律,评估AT切除的程序和临床结果.
- 为了确定在接受AT重复切除术的患者中成功的预测因素.
主要方法:
- 对380名患者的回顾性分析,在先前AF切除后接受AT切除.
- 患者根据基线节律进行分类:鼻节律 (SR),AT或AF.
- 评估了程序数据 (持续时间,成功) 和临床结果 (复发).
主要成果:
- 与AF相比,SR或AT患者的SR程序较短,SR终止率较高.
- 急性手术成功率与SR和AT相似,但高于AF (96.4%对97.1%对87.5%).
- 在随访期间,在SR出现的患者中观察到较低的心律失常复发率 (36.4%对49.5%对68.8%).
结论:
- 基线节律是AF后患者的AT切除后结果的重要预测因素.
- 虽然急性成功是可比的,但SR患者在中期表现出优异的临床结果.
- 基线节律评估对于患者管理和AT切除的结果预测至关重要.
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