40岁以上的患者的心房失常 40岁以上的患者心房隔膜缺陷后心房隔膜缺陷设备关闭
Rui Lun Ng1, Boekhren Karyostyko1, Mohd Nor Hisham Ramli1
1Paediatric & Congenital Heart Centre, Institut Jantung Negara (National Heart Institute of Malaysia), Kuala Lumpur, Malaysia.
International journal of cardiology. Congenital heart disease
|December 23, 2024
概括
在40岁以上的患者中,在心房隔膜缺陷 (ASD) 通过导管关闭后,de novo心房失常不常见. 这项研究发现,手术后新发性心律失常的发病率很低.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 医疗器械 医疗器械
背景情况:
- 40岁以上患有心房隔膜缺陷 (ASD) 的患者经常出现需要治疗的心房失常症.
- 在ASD关闭期间同时进行左心房附属体 (LAA) 封闭的必要性尚不清楚.
研究的目的:
- 在40岁以上的患者中,通过导管关闭ASD后调查de novo心房律乱的发生率.
主要方法:
- 一个单一中心的回顾性研究包括40岁以上的连续患者,这些患者正在接受ASD的设备关闭.
- 标准的12导电心电图和门诊监测被用于手术前后的评估.
主要成果:
- 88名患者的随访时间中位数为3.6年. 七名患者 (8%) 患有先前存在的心房律乱 (AA).
- 两名患者 (2.5%) 出现了de novo心房动,一名患者 (1.2%) 出现了宫外心房节律.
- 单变量分析发现了几种风险因素,但在多变量分析中,对于AA发展,没有一个是显著的.
结论:
- 在成人中关闭设备以治疗ASD后,出现de novo心房律乱的情况并不常见.
- 进一步的研究可能会澄清风险因素和最佳管理策略.
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