实用医学杂志2013，Vol.29Issue(10)：1597-1599,3.DOI:10.3969/j.issn.1006-5725.2013.10.022
瓣膜病合并房颤外科射频消融术后早期复发的危险因素分析
Risk factors for early recurrence of atrial fibrillation after surgical radiofrequency ablation in patients with valvular heart disease combined with atrial fibrillation
陈从涛 1曹海龙 1武忠 1王东进1
作者信息
- 1. 210008 南京市,南京大学医学院附属鼓楼医院心胸外科
- 折叠
摘要
Abstract
Objective To explore the risk factors for early recurrence of atrial fibrillation (AF) after surgical radiofrequency ablation in patients with valvular heart disease combined with AF.Methods Data of 201 patients with valvular heart disease combined with AF in Nanjing Drum Tower Hospital from January 2010 to May 2012 were retrospectively analyzed.Multivariate logistic regression analysis was used to screen independent risk factors for predicting early recurrence of AF.Results 5 patients died after surgery and the data were excluded.Among the 196 patients who finished the heart rhythm monitor,98 patients maintained stable sinus rhythm (SR),whereas the other 98 cases developed AF recurrence during the postoperative hospital stay.Multivariate logistic regression analysis found that the duration of AF,hypertension and left atrial size were the independent risk factors for predicting AF early recurrence.Conclusion Long duration of AF,history of hypertension and enlargement of left atrium could influent the short-term outcome of surgical radiofrequency ablation in patients with valvular heart disease combined with AF.They could be used in clinical practice to choose more suitable patients with valvular heart disease combined with AF for surgical ablation.Thus,it can help to improve the exactness and success rate of terminating AF in this kind of patients,and reduce the waste of medical resources and the economic burden of patients.关键词
心房颤动/瓣膜病/外科射频消融术/早期复发/危险因素Key words
Atrial fibrillation/Cardiac valve disease/Surgical radiofrequency ablation/Early recurrence/Risk factor引用本文复制引用
陈从涛,曹海龙,武忠,王东进..瓣膜病合并房颤外科射频消融术后早期复发的危险因素分析[J].实用医学杂志,2013,29(10):1597-1599,3.
