在老年人-特征和结果中进行超心室动脉缩
Yi Yi Chua1, Julian Cheong Kiat Tay1, Eric Tien Siang Lim1
1Department of Cardiology National Heart Centre Singapore Singapore Singapore.
Journal of arrhythmia
|February 4, 2026
概括
在老年患者中,管切除 supraventricular tachycardia (SVT) 是安全有效的,其成功率高,并发症率低,与年轻人相比. 年龄不应该成为考虑进行SVT切除以缓解症状的障碍.
科学领域:
- 心脏病学 心脏病学
- 电力生理学 电力生理学
- 老年医学 老年医学
背景情况:
- 导管切除是表征性脑膜上空心力衰竭 (SVT) 的首要治疗方法.
- 有限的数据存在于SVT剥离的疗效和安全性,特别是在老年人群中.
- 本研究研究了老年人中SVT切除的特征和结果.
研究的目的:
- 为了比较临床和程序特征和结局的导管切除SVT在70岁及以上的患者相比70岁以下的患者.
- 评估老年人SVT切除的安全性和有效性.
主要方法:
- 在2011年5月至2022年5月期间,对1758名接受SVT切除术 (AVNRT,AVRT,AT) 的患者进行了回顾性分析.
- 患者被分为两个组:≥70岁 (n=150) 和<70岁 (n=1608).
- 排除标准包括对心房动,心房动或心室心律不整的同时切除.
主要成果:
- 老年患者患有结构性和缺血性心脏病的患病率更高,并且更有可能患有AVNRT.
- 尽管基础疾病有差异,但老年人群的手术时间较短.
- 关键的是,老年人和年轻患者之间的即时并发症率和成功率相似.
结论:
- 在老年患者中,SVT导管切除显示出高急性成功率和低并发症率,与年轻人队伍相比.
- 无论年龄如何,都应考虑对有症状的老年患者进行SVT切除.
- 对伴随性疾病和长期结果的进一步研究可以改进患者选择老年人SVT切除的情况.
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