对心房动进行导管切除后的心周炎:预测因素和结果
Ritu Yadav1, Danish Iltaf Satti1, Jui Malwankar1
1Division of Cardiology, Johns Hopkins Hospital, Baltimore, Maryland, USA.
JACC. Clinical electrophysiology
|November 30, 2023
概括
急性心膜炎影响3.7%的患者在心房动 (AF) 经过切除后. 射频剥离和年轻的年龄被确定为这种并发症的关键预测因素.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 医疗并发症 医疗并发症
背景情况:
- 导管切除是心房动 (AF) 的首要治疗方法.
- 急性心膜炎是AF切除后的常见并发症.
- 有限的数据存在于切除后心膜炎的发病率和预测因素.
研究的目的:
- 为了调查AF切除后心膜炎的发病率,特征和预测因素.
- 为了确定与手术后心膜炎发展相关的风险因素.
主要方法:
- 从2016年1月到2022年3月,在AF消去注册表中进行潜在的注册.
- 根据2015年欧洲心脏病学会指南,诊断急性心周炎.
- 临床特征和废弃方法的分析 (RF与冷热气球相比).
主要成果:
- 急性心膜炎的发病率为3.7% (1,540名患者中有57名).
- 射频 (RF) 除是一个独立的预测因素 (OR:2.09),而年龄的增加与风险的降低有关 (OR:0.97).
- 大多数病例都得到了医疗治疗;7%的病例患有坦波纳德的输液,需要心脏凝聚.
结论:
- 在AF切除后发生急性心膜炎的发病率为3.7%.
- 射频剥离和年轻的年龄是重要的独立风险因素.
- 进一步的研究可能会为切除后心膜炎的预防策略提供信息.
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