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射频导管切除对于心房的作用对右心室功能的影响

Minkwan Kim¹, Jae-Sun Uhm², Je-Wook Park¹

¹Division of Cardiology, Department of Internal Medicine, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Korea.

Korean circulation journal

|April 24, 2024

概括

对心房动进行射频导管切除可显著改善右心室缩功能,特别是在持续性AF患者中. 这种手术在切除后对右心室功能有显著的好处.

科学领域:

心脏病学心脏病学
心脏电生理学心脏电生理学
心声回声扫描 (Echocardiography) 是一种心声回声扫描.

背景情况:

射频导管切除 (RFCA) 对心房动 (AF) 患者右心室 (RV) 功能的影响仍然不完全理解.
在不同亚型的AF中,RV缩功能可能会受到损害.

研究的目的:

通过各种AF分类来研究RFCA对RV缩功能的影响.
为了比较RFCA后的RV功能变化,在帕洛克斯系统性AF (PAF),持久性AF (PeAF) 和长期持久性AF (LSPeAF) 中.

主要方法:

连续招募接受RFCA的AF患者,并进行手术前和后的心声图.
测量RV部分面积变化 (FAC),RV自由壁纵向应变 (RVFWSL) 和RV四腔应变 (RV4CSL).
在PAF,PeAF和LSPeAF组之间对RV功能参数变化的比较分析.

主要成果:

与PAF患者相比,患有PeAF和LSPeAF的患者显示RV4CSL和RVFWSL受损.
在PeAF组与PAF和LSPeAF组相比,在RFCA后观察到RVFWSL和RV4CSL的显著改善.
在非复发病例中,PeAF患者比LSPeAF患者显示出更大的RVFWSL和RV4CSL改善.

结论:

与PAF相比,与PeAF和LSPeAF患者的右心室缩功能更受损害.
与PAF或LSPeAF患者相比,RFCA导致PeAF患者的RV缩功能得到更大的改善.

关键词:

心房动是一种心房动.导管切除导管切除导管切除导管切除右心室的右心室.压力应变是一种压力.右心室功能,右心室功能

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