在心房动和心房的成功选择性心脏转变后,与无补偿性心力衰竭相关的患病率和危险因素
Christina Healy1, Palwinder Sodhi1, Annabelle Barnett1
1University of Wisconsin School of Medicine and Public Health, Department of Medicine, Division of Cardiology, United States of America.
American heart journal plus : cardiology research and practice
|November 18, 2024
概括
心脏衰竭 (HF) 可能发生在心脏转变 (CV) 之后,用于心房动 (AF) 或心房动 (AFL). 关键的风险因素包括先前的HF住院,高BMI和门疾病.
科学领域:
- 心脏病学 心脏病学
- 电力生理学 电力生理学
背景情况:
- 心房动 (AF) 和心房动 (AFL) 是常见的心律失常症.
- 心脏转变 (CV) 是一种恢复正常心律的程序.
- 心力衰竭 (HF) 是CV之后的潜在并发症.
研究的目的:
- 为了确定心力衰竭 (HF) 的发病率,在成功的电动和消退性心脏转变 (CV) 之后,为心房 (AF) 和心房 (AFL) 确定心力衰竭 (HF).
- 确定与CV后HF发展相关的风险因素.
主要方法:
- 追溯队列研究涉及451名患者,他们接受了成功的选择性CV.
- 排除患有非AF/AFL,其他HF病因或早期心律不整复发的病人.
- 对CV前后的医疗记录进行审查,以评估新的或恶化的HF症状.
主要成果:
- 7.3% (33名451名) 的患者在CV后的鼻节律 (SR) 中出现了新的或恶化的HF症状.
- 肝炎症状发生在CV后的中位数为5.1天.
- 肝炎的重要危险因素包括先前肝炎住院 (OR 3.91),高BMI (OR 1.06) 和门疾病 (OR 2.51). 抗心律失常药物 (AAD) 的使用是边际显著的 (OR 2.02).
结论:
- 不补偿性心力衰竭 (HF) 在30天内发生在7.3%的患者中,尽管保持了鼻节律 (SR),但在AF或AFL的成功CV后30天内发生.
- 这种发病率表明,CV后的高血压可能比以前认为的更为常见.
- 升高的BMI,门疾病,先前的HF住院和AAD使用是CV之后HF的显著预测因素.
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