典型心房的导管切除后心房的发生率和模式 - - FLUTFIB研究

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Philipp Attanasio¹, Tabea Budde¹, Paul Kamieniarz¹

¹Deutsches Herzzentrum der Charité, Klinik für Kardiologie, Angiologie und Intensivmedizin Hindenburgdamm 30, 12203 Berlin, Germany.

Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology

|February 1, 2024

概括

心房动 (AF) 经常发生在心房动 (AFL) 切除后,大多数发作无症状且持续时间长. 这些发现指导了洞穴椎间盘 (CTI) 切除后的抗凝管理.

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:

卡沃特里克斯皮德 (Cavotricuspid) 缺口 (CTI) 切除有效地治疗心房动 (AFL).
在CTI切除后,心房动 (AF) 可能会发生,需要进一步的治疗.
持续的心脏监测对于检测亚临床心律失常至关重要.

研究的目的:

为了确定AF的发病率,持续时间,时间和症状,在AFL的CTI切除后进行AF.
评估植入式循环记录器 (ILR) 在检测AF后移除的实用性.
根据CTI切除后的抗凝策略提供信息.

主要方法:

在没有先前AF诊断的情况下,针对AFL进行CTI切除的100名患者的前性研究.
使用植入式循环记录器 (ILR) 进行持续的心脏监测,平均24个月.
分析AF发作特征,症状和基线预测因素.

主要成果:

77%的患者在切除后发生了AF,平均发病时间为180天.
大多数AF发作 (>58%) 持续时间超过1小时,52%无症状.
基线分数 (HATCH,CHA2DS2-VASc) 没有预测AF的发展;没有发生中风或TIA.

结论:

植入式循环记录器显示,在CTI切除后,AF的发病率很高,通常是无症状和长时间的.
这些发现支持需要仔细考虑这些患者的抗凝管理.
这项研究为未来关于AF发作持续时间和抗凝剂启动的试验提供了关键数据.

关键词:

剥离剥离剥离剥离心房动是一种心房动.在心房动.可植入的循环记录器这是一种口服抗凝药.

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