患有持续或长期持续性心房/心房的患者发生并发症的危险因素,这些患者接受了电动心脏转换:多中心心脏转换注册表.
Ki-Hun Kim1, Junbeom Park2, Donghwan Ku1
1Division of Cardiology, Department of Internal Medicine, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.
Journal of Korean medical science
|January 6, 2026
概括
女性性别和先前的中风/全身栓塞 (SSE) 是心房动 (AF) 电动心转动 (ECV) 后并发症的关键预测因素. 了解这些风险有助于管理AF节律控制策略.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 内部医学 内部医学
背景情况:
- 电动心脏转换 (ECV) 是一种控制心律的策略,用于心房动 (AF) 患者.
- 识别与ECV相关的并发症对于患者管理和风险分层至关重要.
研究的目的:
- 在患有持久或长期持久的AF/心房 (AFL) 患者中,鉴定ECV后主要并发症的风险因素.
- 为了告知临床决策,关于节律控制策略在AF患者接受ECV.
主要方法:
- 对1058名接受ECV治疗的患者进行回顾性审查,以治疗持久或长期持久的AF/AFL.
- 患者被分为并发症 (n=35) 和无并发症 (n=1,023) 组.
- 主要并发症包括中风/全身栓塞 (SSE),心肌梗塞,严重出血,并在一年内死亡.
主要成果:
- 并发症组的女性比例较高,年龄较大,糖尿病 (DM),心力衰竭 (HF),SSE,较高的CHA2DS2-VASc (CV) 评分,左下心室喷射率 (LVEF) 和较高的左心房体积指数 (LAVI).
- 单变分析确定年龄 (≥65),女性性别,DM,HF,SSE,低LVEF (<50%),高LAVI (≥40mL/m2),高CV得分 (≥3),胸心梗塞和缺乏抗失常药作为危险因素.
- 多变量分析证实女性性别和SSE史是并发症最重要的独立预测因素.
结论:
- 女性性别和先前的中风/全身栓塞 (SSE) 是AF/AFL患者中ECV并发症的最关键风险因素.
- 这些发现强调了手术前风险评估和对ECV患者的选择的重要性.
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