在老年患者中,高功率单环隔离和盒子隔离的比较 持续性心房动的老年患者
Yanbin Song1,2, Xiaofang Liang1,2, Sheliang Xue1,2
1Wujin Hospital Affiliated With Jiangsu University, No. 2, Yongning North Road, Changzhou, Jiangsu, 213017, China.
BMC geriatrics
|May 16, 2025
概括
高功率单环隔离 (SRI) 与盒子隔离 (BOXI) 相比,为患有持续性心房 (PeAF) 的老年患者提供了潜在的优越体验. SRI可以减少切除时间,病变,疼痛和胃肠道症状,而不会影响无心律失常的生存.
科学领域:
- 心脏病学 心脏病学
- 电力生理学 电力生理学
- 医疗器械 医疗器械
背景情况:
- 持续性心房动 (PeAF) 是老年人常见的一种心律失常.
- 导管切除是PeAF的主要治疗方法.
- 优化除技术对于患者的结果和体验至关重要.
研究的目的:
- 评估高功率单环隔离 (SRI) 与盒子隔离 (BOXI) 在患有PeAF的老年患者中的优势.
- 为了比较SRI和BOXI之间的程序效率,安全性和患者体验.
主要方法:
- 对接受初级导管切除的老年PeAF患者进行了回顾性研究.
- 患者分为SRI和后方BOXI组 (1:1倾向性得分匹配).
- 收集的数据包括基本特征,程序变量,并发症和心律失常复发率.
主要成果:
- 与BOXI相比,SRI显著减少了总除时间,病变数量和后壁病变 (P < 0.001).
- SRI导致心脏热素水平降低 (P=0.023),映射模型不匹配较少,疼痛得分较低 (P < 0.001).
- 在SRI组中,较少的患者出现了胃肠道症状 (15.56%与37.78%,P=0.017);12个月无心律失常的存活率在两组之间相似.
结论:
- 高功率SRI对于老年PeAF患者来说是一种安全且可行的切除策略.
- 与BOXI相比,SRI似乎提供了更好的患者体验,减少了程序负担和不适.
- 进一步的研究可能会证实SRI在特定患者群体中的优势.
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