从右心室到冠状动脉鼻的时间间隔预测了在当前的除实践中,心房动的复发
Daiki Yamashita1, Naoki Fujimoto1, Shinya Sugiura2
1Department of Cardiology and Nephrology, Mie University Graduate School of Medicine.
概括
在心房动 (AF) 废除后,心房导电时间较长可以预测心房动复发. 测量右心室到冠状动脉鼻 (RA-CS) 间隔可以识别患有AF复发的风险较高的患者.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 医学研究 医学研究
背景情况:
- 摘除后心房 (AF) 复发与心房重塑有关.
- 心房导电时间作为心房重塑的标志物.
- 预测AF复发对于患者管理至关重要.
研究的目的:
- 为了研究心房导电时间和射频导管切除后AF复发之间的关系.
- 确定心房导电时间是否是AF复发的独立预测因素.
主要方法:
- 纳入了441名接受AF初始射频导管切除的患者.
- 右心房到冠状动脉鼻 (RA-CS) 间隔是在鼻节律期间测量后的剥离.
- 对AF复发进行了1年的监测,定义为AF或心房低心率持续时间>30秒.
主要成果:
- 在44名患者中观察到复发.
- 在复发 (122.5毫秒) 的患者中,RA-CS间隔与没有复发 (98.5毫秒) 的患者相比显著更长.
- 111毫秒的RA-CS间隔被确定为截止值,较长的间隔独立地与增加的复发风险相关 (HR 1.05).
结论:
- 耳前导电时间,特别是RA-CS间隔,是AF切除后复发的独立预测因素.
- 测量RA-CS间隔可以帮助识别患有AF复发风险较高的患者.
- 这一发现支持导电时间在评估心房重塑和预测除结果方面的作用.
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