在手术前的右心房直径可能预测典型的心房的发展,在为心房动进行导管切除的患者
Taner Ulus1, Aytuğ Al1, Fatih Enes Durmaz1
1Department of Cardiology, Faculty of Medicine, Eskişehir Osmangazi University, Eskişehir, Türkiye.
Anatolian journal of cardiology
|October 27, 2023
概括
由于心房动而接受导管切除的患者可能会出现典型的心房. 更大的手术前右心房直径增加了这种风险,测量≥39毫米表明未来风险更高.
科学领域:
- 心脏病学 心脏病学
- 电力生理学 电力生理学
- 医疗器械 医疗器械
背景情况:
- 对于心房动 (AF) 的导管切除可以导致一些患者的典型心房动 (AFL).
- 在AF切除后的AFL管理中,可能需要第二个程序.
研究的目的:
- 为了确定典型的心房的预测因素,心房的导管切除后心房的发展.
- 为了确定与AF移除后AFL发生相关的临床变量.
主要方法:
- 研究了159名接受初始AF导管切除而没有先前AFL的患者.
- 收集了基线临床和心声回声数据.
- 随访发生在1,3,6,12个月,以及每年对AFL发展进行.
主要成果:
- 在平均34个月的随访期间,13.2%的患者 (21/159) 出现了典型的AFL.
- 患有AFL的患者在手术前右心房直径显著增加 (39.0 mm vs 36.0 mm,P < .001).
- 右心房直径是AFL发展的唯一独立预测因素 (HR=1.12,P=.021),截止值为38.5毫米预测AFL (AUC=0.77).
结论:
- 在手术前对右心房直径的测量可以预测典型的AFF在AF切除后的发展.
- 在切除前右心房直径≥39mm的患者在未来典型AFL的风险增加.
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