在永久性心房动和性别差异中,捆绑分支区块和轴偏差的患病率
Raymond Farah1,2, Mor Kdoshim1,2, Rola Khamisy-Farah2,3
1Internal Medicine Department B, Ziv Medical Center, Safed, Israel.
概括
心房动与左捆支部阻塞有关,可能表明风险因素. 左轴偏差可能是保护性的,年轻的患者与左捆分支块的关联较强,这表明预后较差.
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) 是一种常见的心律失常.
- AF和导电异常之间的关联,如捆绑分支块 (BBB) 和轴偏差 (AD),需要进一步调查.
研究的目的:
- 为了探索与健康人相比,与永久性心房的患者在右侧或左侧结束分支阻塞和轴偏差的共存和关联,与鼻腔节律的健康人相比.
- 调查这些心电图发现与心房动之间的潜在相关性,考虑年龄和性别.
主要方法:
- 以色列Ziv医疗中心的回顾性观察研究.
- 分析患有永久性心房动的患者和患有鼻节律的对照组的心电图.
- 评估是否存在捆绑分支块和/或轴偏差.
主要成果:
- 在心房动和左捆分支阻塞之间发现了显著的相关性.
- 鼻节律的受试者与左轴偏差有显著的相关性.
- 年轻的AF患者 (<73.5岁) 与LBBB的相关性更高;老年患者 (>73.5岁) 的鼻节律与LAD的相关性更高.
结论:
- 左束分支阻塞可能是心房动的危险因素,而左轴偏差可能是保护性的.
- 年龄影响这些关联,年轻的AF患者与LBBB有显著的相关性,可能表明预后不佳.
- 在这些关联方面,男性和女性患者之间没有发现显著差异.
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