多发病性增加了冷热气球除后心房的复发风险
Marieke J H Velt1, Colinda van Deutekom1, Michelle Lobeek1
1Department of Cardiology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
International journal of cardiology. Heart & vasculature
|October 15, 2025
概括
多病症,定义为两个或两个以上的健康状况,增加了心脏动 (AF) 阴冷气球移除后心脏律失常的复发风险. 这一发现凸显了在经过切除术的AF患者中管理多种并发症的重要性.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 公共卫生 公共卫生
背景情况:
- 心房动 (AF) 导管切除是一种常见的治疗方法,但复发率仍然很高.
- 虽然单个并发症会影响切除成功,但多发症的影响尚不清楚.
- 冰冷气球除是AF治疗中广泛使用的技术.
研究的目的:
- 为了研究多病症和心房失常症在冷热气球AF切除后复发之间的关联.
- 确定可能影响消除后复发率的特定并发症.
主要方法:
- 一个单一中心的前性注册,包括349名连续接受冷却气球AF切除的患者.
- 患者被分为没有多病症 (0-1并发症) 和多病症 (≥2并发症).
- 随访包括心电图和霍尔特监测;考克斯回归分析评估了复发风险.
主要成果:
- 53%的患者患有多种疾病;33%的患者在一年内出现复发.
- 多发病症显著增加了心房律乱复发的风险 (HR 1.64).
- 高血压和肥胖独立地与复发风险增加有关.
结论:
- 多发病是冷热气球AF切除后心房律乱复发的重要预测因素.
- 有效地管理诸如高血压和肥胖等并发症,可能会改善切除结果.
相关概念视频
Disturbances in Heart Rhythm
2.5K
Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
2.5K
Dysrhythmias VI: Management of Dysrhythmias
431
Dysrhythmia management involves a multifaceted approach, incorporating pharmacological treatments, medical procedures, surgical interventions, lifestyle modifications, and patient education.Pharmacological ManagementAntiarrhythmic Drugs:Class I (Sodium Channel Blockers): This class includes quinidine and procainamide, which reduce the speed of impulse conduction in the heart, stabilize the cardiac membrane, and control arrhythmias. Quinidine and procainamide are Class IA agents that prolong the...
431
ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias
465
Arrhythmia is a condition characterized by an irregular heart rhythm, with ECG changes that differ based on its origin and nature. The types of arrhythmias discussed below include atrial, junctional, and ventricular arrhythmias.Atrial ArrhythmiasPremature Atrial Complexes (PACs): PACs are early atrial beats caused by stress, caffeine, alcohol, electrolyte imbalances, hypoxia, hyperthyroidism, or certain medications (e.g., bronchodilators and decongestants). The ECG shows early P waves with an...
465
Cardiomyopathy IV: Restrictive Cardiomyopathy
453
Restrictive cardiomyopathy (RCM) is a rare heart muscle disease characterized by impaired ventricular filling due to stiffened ventricular walls, leading to significant diastolic dysfunction.EtiologyRestrictive cardiomyopathy can arise from both inherited and acquired diseases, many of which are systemic. It is categorized into four main types: infiltrative, storage, non-infiltrative, and endomyocardial diseases.Infiltrative diseases, such as amyloidosis, lead to RCM by depositing amyloid...
453
Dysrhythmias II: Classification of Tachyarrhythmias
496
Tachyarrhythmias are a type of dysrhythmia where the heart rate exceeds 100 beats per minute. Here are some common types of tachyarrhythmias:Sinus TachycardiaSinus tachycardia originates from increased impulses from the sinus node, leading to an elevated heart rate. It is often triggered by stress, fever, or exercise.Patients may experience palpitations, a sensation of a racing heart, dizziness, and chest discomfort.Causes and Risk Factors: Common causes include physical exertion, emotional...
496
Mechanism of Cardiac Arrhythmias
1.6K
Arrhythmias are irregular heart rhythms occurring when the heart's electrical impulses become abnormal. These disturbances can lead to various symptoms, depending on their severity and the underlying cause. Some common factors contributing to arrhythmias include hypoxia, ischemia, electrolyte imbalances, excessive catecholamine exposure, drug toxicity, and muscle overstretching. Arrhythmias can be classified into two main types based on the rate and site of origin of abnormal heart rhythms.
1.6K


