左心室低电压的范围预测了上心室节律失常的复发
Yannick Teumer1, Luca Gold1, Lyuboslav Katov1
1Internal Medicine II, Ulm University Hospital, Albert-Einstein-Allee 23, 89081 Ulm, Germany.
Journal of cardiovascular development and disease
|October 25, 2024
概括
切除后左心房 (LA) 中低电压区域的范围预测心律不整的复发. 在电解剖学绘图 (EAM) 中,0.4mV的值最能识别出患有 supraventricular tachycardia复发风险较高的患者.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 医疗成像医学成像
背景情况:
- 左心室 (LA) 上心室心律不整正在增加,在切除后经常复发.
- 左心房心肌病,通过电解剖绘图 (EAM) 的低电压识别,是复发的危险因素.
- 在EAM中定义低压区域的最佳电压值需要进一步调查.
研究的目的:
- 为了确定低电压区域在LA的范围对切除后无复发生存的影响.
- 为了评估不同电压值 (0.5,0.4,0.3 mV) 的预测性能的复发.
主要方法:
- 从ATRIUM注册中对108名心房失常患者进行LA EAM的回顾性分析.
- 接收器操作特征 (ROC) 分析以确定最佳电压值.
- 卡普兰-梅尔和后勤回归模型来评估无复发生存率.
主要成果:
- 低电压的0.4mV值显示出对复发的最佳预测性能.
- 增加LA低压区域 (百分比) 与复发风险增加1.039倍相关 (OR=1.039).
- 在EAM中低电压范围与消去后的一年复发率相关.
结论:
- 由EAM检测到的LA中低电压区域的范围是切除后无复发生存的重要预测指标.
- 0.4mV的值是最适合定义低电压区域以预测该患者队列中复发的.
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