导管切除的长期结果对于心房动在八十岁的
Nikola Kozhuharov1,2, Nabeela Karim3,4, Antonio Creta5
1Liverpool Heart and Chest Hospital NHS Foundation Trust, Liverpool, UK. Nikola.Kozuharov@insel.ch.
概括
对心房动 (AF) 的导管切除在八十岁患者中是有效的,但与年轻患者相比,其并发症和复发的风险更高. 80岁以上的年龄是AF复发的独立预测因素.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 老年医学 老年医学
背景情况:
- 导管切除是心房动 (AF) 的首选治疗方法,而不是药物治疗.
- 在八十多岁的患者中,AF剥离的长期结果仍未得到充分研究.
- 这项研究比较了八十多岁人群与年轻人群的AF除结果.
研究的目的:
- 为了评估导管切除在八十岁患者中心房动的疗效和安全性.
- 为了比较八十多岁的AF废除的长期结果与年轻患者的匹配队列.
- 在老年人群中确定AF切除后心律失常复发的预测因子.
主要方法:
- 在13个中心对473名经过AF切除的八十岁患者进行了回顾性分析.
- 结果与473名匹配的年轻对照患者进行了比较.
- 主要终点是90天的空白期后,在去除术后的365天内,心房节律失常的复发.
主要成果:
- 八十岁的患者急性肺静脉隔离成功率高 (97%),但他们遇到更多的手术并发症 (11.4%vs7.0%).
- 与年轻患者 (23.5%) 相比,八十岁的患者 (27.7%) 的心房失常复发率更高,80岁以上的年龄是独立预测因素.
- 八十一岁的患者的中位随访时间比年轻人群 (354天) 短 (281天).
结论:
- 导管切除是八十岁患者心房动的有效治疗方法.
- 经过AF切除术的八分生殖器人面临着稍微增加的程序并发症和心律失常复发的风险.
- 年龄是影响AF切除术长期成功的一个重要因素.
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