在心房动移除过程中,由不同的能量来源引起的周食管神经症状性损伤
Shinsuke Miyazaki1, Atsushi Kobori2, Hikari Jo3
1Department of Cardiovascular Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
Frontiers in cardiovascular medicine
|November 15, 2023
概括
在心房移移除后出现症状性胃低移动是罕见的,但严重的. 在六个月内恢复是常见的,不管是废弃的能量来源,尽管一些症状可能会持续更长时间.
科学领域:
- 心脏病学 心脏病学
- 胃肠病学 胃肠病学
- 医疗并发症 医疗并发症
背景情况:
- 症状性胃低动性 (SGH) 是心房动 (AF) 除后的一种罕见但显著的并发症.
- 有限的数据存在于临床过程和结果的SGH后AF消去.
研究的目的:
- 根据AF切除过程中使用的不同能量来源,比较SGH的临床过程.
- 分析AF切除后SGH患者的特征和临床结果.
主要方法:
- 一项多中心的回顾性研究收集了93名被诊断为SGH AF后消融的患者的数据.
- 分析了患者的特征,切除细节 (能量来源,病变组) 和临床结果.
主要成果:
- SGH诊断发生在手术后2天的中位数,其中30.1%需要重新住院治疗.
- 大多数患者 (89.7%) 在12个月内症状消失,中位恢复时间为6个月.
- 临床结果和康复率与使用的能量来源 (射频,冷气球) 或左心房损伤组不分,都相似.
结论:
- 在AF切除后SGH的临床过程在不同的能量来源中是一致的.
- 延迟诊断是常见的,虽然大多数患者在六个月内康复,但部分患者可能会经历超过一年的持续症状.
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