患有持续性心房的患者中长期结果的预测因素 接受电动心脏转换的患者
Mohammad Reza Dehghani1, Navideh Safarzadeh1, Akram Shariati1
1Department of Cardiology, Seyyed-al-Shohada Heart Center, Urmia University of Medical Sciences, Urmia, Iran.
Journal of cardiovascular and thoracic research
|April 8, 2024
概括
心转动后的复发性心房动 (AF) 是常见的. 下体质指数和粗 AF 预测复发,指导患者管理和未来的研究.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 内部医学 内部医学
背景情况:
- 心房动 (AF) 转心是一种标准的治疗方法,但复发性AF是常见的并发症.
- 预测AF复发对于优化患者的治疗结果和管理持续性AF至关重要.
研究的目的:
- 在患有持续性AF的患者中,在电动心脏转换后确定AF复发的预测因素.
- 为了比较AF复发后心转变患者和没有AF复发患者之间的不良事件结果.
主要方法:
- 一组129名患有持续性AF的患者接受了心脏转变.
- 根据6个月内的节律状态,患者被分为正常鼻节律 (NSR) 或AF复发 (AFR) 组.
- 随访评估了主要不良事件,包括心血管事件和超过6个月的复发性AF.
主要成果:
- 下体质指数 (OR 0.885,P=0.027) 和心转动前粗 AF (OR 3.846,P=0.025) 是AF复发的独立预测因素.
- 与NSR组相比,在AFR组观察到更高的主要不良事件的趋势 (P=0.063).
结论:
- 粗 AF 和下肢体质量指数是持续 AF 的心脏转移后AF复发的显著预测因素.
- 这些发现有助于风险分层和个性化管理策略对AF患者进行心脏转变.
相关概念视频
Electroconvulsive Therapy
39
Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
39
Disturbances in Heart Rhythm
947
Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
947
Antiarrhythmic Drugs: Class II Agents as β-Adrenergic Blockers
741
Adrenergic stimulation generally impacts cardiac rate and rhythm. Specifically, stimulation of the β-adrenoceptors triggers an increase in intracellular calcium ion influx and pacemaker currents, which may cause arrhythmias. Catecholamines like adrenaline also demonstrate β2-adrenoceptor-mediated hypokalemia, impacting cardiac action potential and disrupting the normal cardiac rhythm. Class II antiarrhythmic drugs are β-adrenoceptor antagonists or β-blockers, which...
741


