在患者中进行迷宫手术的最佳患者选择,这些患者接受了 mitra 门疾病
Tomoaki Masuda1, Atsushi Aoki2, Tadashi Omoto2
1Department of Cardiovascular Surgery, Showa University, Hatanodai 1-5-8, Shinagawa-Ku, Tokyo, 142-8666, Japan. masudacvs@med.showa-u.ac.jp.
Journal of cardiothoracic surgery
|April 8, 2024
概括
在外科手术期间的直接心脏转换有效地选择了在中枢疾病中进行迷宫手术的患者. 这种方法预测成功消除心房动和恢复正常鼻节律.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 电子生理学 电子生理学
背景情况:
- 对于迷宫手术患者的选择仍然具有挑战性,尽管已知导致不成功结果的风险因素.
- 在心室卸载后的手术内直流心转动 (DC) 用于在指示迷宫手术之前建立正常的鼻腔节律 (NSR).
研究的目的:
- 评估在患有中膜疾病的患者中对迷宫手术的特定适用性标准的有效性.
- 评估成功的迷宫手术结果的预测因素.
主要方法:
- 这项研究包括了55名在2012年10月至2021年10月期间接受迷宫手术的患者.
- 患者在全心肺绕道后通过手术内DC实现了NSR.
- 分析的关键终点是心房的消失,NSR的恢复和A波检测.
主要成果:
- 在接受迷宫手术的43名患者中,90.7%的AF消除,83.7%的NSR恢复.
- 消除AF的预测因素包括F波幅 (≥0.1mV).
- 预测NSR恢复的预测因素包括F波幅和AF史≤3年. 左心脏直径≤55毫米预测A波检测.
结论:
- 在心室卸载后的手术内直流是同时进行迷宫手术的有效患者选择策略.
- F波特征和AF史预测电力恢复,而左心房直径预测心房功能恢复.
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