动脉动患者进行导管切除的患者体力活动的影响:多中心随机化BE-ACTION试验
Martin Seifert1,2, Daniel Meretz1,2, Anja Haase-Fielitz1,2,3
1Department of Cardiology, University Hospital Heart Centre Brandenburg, Brandenburg Medical School (MHB) Theodor Fontane, Neuruppin, Germany (M.S., D.M., A.H.-F., C.G., M.B., V.M., C.B.).
Circulation. Cardiovascular quality and outcomes
|August 30, 2024
概括
增加体力活动并没有减少肺静脉隔离 (PVI) 后心房的复发. 这项研究发现,加强活动监测和标准监测之间在预防心律失常复发方面没有显著差异.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 预防医学 预防医学
背景情况:
- 心房的复发肺静脉隔离后 (PVI) 是一个重要的临床挑战.
- 包括体力活动在内的生活方式修改越来越多地被作为辅助疗法探索.
研究的目的:
- 评估结构化的体力活动干预对PVI后心房的复发的影响.
- 在接受PVI的患者中,比较远程引导体育活动与标准监测的疗效.
主要方法:
- 一个多中心随机试验,涉及200名接受PVI的患者.
- 患者被分配到干预组 (活动跟踪器与远程指导) 或对照组 (仅使用活动跟踪器).
- 主要终点是12个月内的心律失常复发,重复手术,心脏转变或新的抗心律失常药物的复合.
主要成果:
- 两组都显示每天步数增加,在两组之间的绝对增加没有显著差异.
- 主要复合终点发生在干预组的27.3%,对照组的32.7% (P=0.405).
- 在心房律乱复发或复合终点的其他组成部分中没有观察到显著差异.
结论:
- 使用活动追踪器和激励电话进行增强的体育活动促进并没有显著减少PVI后心房的复发.
- 虽然PVI后身体活动有所改善,但该干预措施在预防不良心律失常事件方面没有超过标准监测.
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