身体活动对心房动在导管切除后复发的影响
Radoslaw J Nabrzyski1,2, Aditya Mantha1, Alex Grubb1,2,3,4
1Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
概括
在心房移除之后,定期进行适度的体力活动可以显著降低复发风险. 每周至少花90分钟的时间可以改善为AF进行导管切除的患者的治疗结果.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 预防医学 预防医学
背景情况:
- 心房动 (AF) 是一种常见的心律失常,对健康有重大影响.
- 导管切除 (CA) 改善了结果,但长期成功率需要提高.
- 运动对AF复发后CA的作用尚不清楚.
研究的目的:
- 为了研究体力活动水平和导管切除后AF复发之间的关联.
- 为了确定中度体力活动持续时间是否影响CA后的AF复发率.
主要方法:
- 首次进行AF导管切除的患者的回顾性图表审查.
- 患者采访以评估平均每周体育活动水平 (强度和持续时间).
- 统计分析以将运动习惯与AF复发风险相关联.
主要成果:
- 分析了163名患者 (平均年龄为69.3岁,女性为39.8%).
- 70%的患者每周进行>90分钟的中度体力活动 (MPA).
- 在多变量调整后,MPA>90分钟/周的患者显示AF复发风险明显降低 (HR:0.46,p=0.016).
结论:
- 每周至少90分钟的中等强度运动与CA后AF复发的减少有关.
- 需要进一步的研究,包括随机试验,以确定AF管理的最佳运动参数.
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