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Robotic Ablation of Atrial Fibrillation
Published on: May 29, 2015
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在患有术后揭露的鼻结病患者中,持续性心房移除后的长期结局
Verena Kantenwein1, Elisabeth Martini2, Bernhard Haller3
1Klinik Für Herz- Und Kreislauferkrankungen, Deutsches Herzzentrum München, Klinikum der Technischen Universität München, Lazarettstr. 36, 80636, Munich, Germany. kantenwein@dhm.mhn.de.
概括
与没有SND的患者相比,接受心房移除新发现的鼻结疾病 (SND) 的患者的长期成功率更差. 这凸显了在AF切除结果中考虑SND的重要性.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 心脏外科手术 心脏外科手术
背景情况:
- 持续性心房动 (AF) 影响了大量患者群体.
- 一部分AF患者 (约3%) 也患有潜在的鼻结病 (SND).
- 在AF切除后,SND的揭露可能会发生,需要进一步的管理.
研究的目的:
- 为了评估AF切除术在术后发展SND的患者的长期成功.
- 为了比较患有和没有术后SND的患者之间的切除结果.
主要方法:
- 进行了一项倾向分数匹配的病例控制研究.
- 51名手术后没有掩盖的SND患者与没有SND的102名患者进行了比较.
- 匹配标准包括年龄,BMI,LVEF,性别,血压,糖尿病,心房电压,先前的切除和切除方法.
主要成果:
- 切除后一年,只有39%的没有掩盖的SND患者保持了鼻节律,而对照组的60% (OR 0.43,p=0.017).
- 随访一年内重复切除手术的发生率在两组之间是相似的 (p=0.566).
结论:
- 在患有术后SND的患者中,AF切除的长期成功率明显较低.
- 术后SND与持续AF切除后的较差结果有关.
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