| 周良,陈莉,沈伟.阵发性心房颤动导管射频消融术后长程随访的复发因素分析[J].安徽医药,2020,24(8):1564-1567. |
| 阵发性心房颤动导管射频消融术后长程随访的复发因素分析 |
| Recurrence factors in long?term follow?up after radiofrequency catheter ablation of paroxysmal atrial fibrillation |
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| DOI：10.3969/j.issn.1009?6469.2020.08.021 |
| 中文关键词: 导管消融术 心房颤动 尿酸 复发 |
| 英文关键词: Catheter ablation Atrial fibrillation Uric acid Recurrence |
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| 中文摘要: |
| 目的分析阵发性心房颤动导管射频消融术后复发的预测因素。方法入选 2010年 6月至 2013年 10月在安徽省立医院首次成功接受三维电解剖标测系统指导下行阵发性心房颤动导管射频消融手术治疗的病人 117例，术后随访至少 6月，最长随访 8.5年，根据术后心房颤动是否复发分为复发组和未复发组，通过比较两组病人术前临床资料，分析阵发性心房颤动导管射频消融术后长程随访的复发因素。结果截至 2019年 4月共 117例病人完成术后随访，术后共 55例复发，复发率 47%，两组房颤病程、血尿酸、合并高血压比较，差异有统计学意义，多元 logistic回归分析提示阵发性心房颤动病程(P＝0.002；OR=1.211； 95%CI:1.072～1.369)尿酸(P＝0.050；OR=1.004；95%CI:1.000～1.008)，合并高血压(P＝0.035；OR=2.435；95%CI:1.066～5.559)是阵发性心房导管射频消融术后复发的独立预测因素。结论病程、血尿酸、合并高血压是阵发性心房颤动导管颤动，射频消融治疗术后复发的独立预测因素。 |
| 英文摘要: |
| Objective To investigate the factors predicting the recurrence of paroxysmal atrial fibrillation(PAF)after radiofrequen? cy catheter ablation(RFCA).Methods A total of 117 patients with PAF who underwent the first successful RFCA guided by 3?di?mensional mapping system at Anhui Provincial Hospital from June 2010 to October 2013 were enrolled.Patients were followed upfor at least 6 months and the longest follow?up was 8.5 years.They were assigned into recurrence group and non?recurrence groupaccording to the recurrence of atrial fibrillation or not.The preoperative clinical data of the two groups were compared to analyze therecurrence factors of long?term follow?up after RFCA of paroxysmal atrial fibrillation.Results By April 2019，a total of 117 pa? tients had the postoperative follow?up，and there were 55(47%)cases of recurrence.There were significant differences in duration of atrial fibrillation，uric acid，and concurrent hypertension.Multivariate logistic regressions analysis showed that duration of atrial fi? brillation(P＝0.002；OR=1.211；95%CI:1.072?1.369)uric acid(P＝0.050；OR=1.004；95%CI:1.000?1.008)，concurrent hyperten? sion(P＝0.035；OR=2.435；95%CI:1.066?5.559)werei，ndependent predictors of the recurrence of PAF.Conclusion Duration of atrial fibrillation，uric acid，and concurrent hypertension are the independent predictors of the recurrence of PAF after RFCA. |
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