实用心电与临床诊疗2025，Vol.34Issue(1)：40-47,8.DOI:10.13308/j.issn.2097-5716.2025.01.009
射频消融对冷冻消融术后复发性心房颤动的疗效:倾向性评分匹配分析
Efficacy of radiofrequency ablation for treating recurrent atrial fibrillation after cryoablation:a propensity score matching analysis
摘要
Abstract
Objective To evaluate the efficacy of radiofrequency ablation and antiarrhythmic drugs(AADs)therapy in patients with atrial fibrillation(AF)recurrence after cryoablation of AF.Methods Non-valvular AF patients who had relapsed after cryoablation and met the inclusion criteria were selected.According to different treatment strategies,they were divided into ablation group(n=28)and AADs group(n=37).Propensity score matching analysis was used,and 28 cases were selected from each group for the final analysis of therapeutical effect.Results The ablation group had significantly lower incidence rates of AF-related rehospitalization,anticoagulant use,and AADs use than those of the AADs group.During follow-up,there was significant reduction in the long and short axis of the right atrium in the ablation group,and the improvement of cardiac remodeling was more obvious in the ablation-sinus rhythm group.In addition,compared with those before operation,the severity of mitral and tricuspid regurgitation were significantly reduced in the ablation group,while the physical and mental health status were both improved.Conclusion Compared with AADs therapy,re-ablation can significantly reduce the risk of occurrence of clinical endpoint events including recurrent AF,AF-related rehospitalization,and the use of anticoagulant and AADs.Additionally,this treatment significantly improves cardiac remodeling and valve regurgitation due to AF recurrence,and has a positive impact on the physical and psychological status of the patients.关键词
心房颤动/冷冻消融/射频消融/复发Key words
atrial fibrillation/cryoablation/radiofrequency ablation/recurrence分类
医药卫生引用本文复制引用
顾鹏洋,史嘉玉,李靖宇,孙涵锐,徐海霞,陆齐..射频消融对冷冻消融术后复发性心房颤动的疗效:倾向性评分匹配分析[J].实用心电与临床诊疗,2025,34(1):40-47,8.基金项目
南通市科技基金资助项目(MS22021030) （MS22021030）
南通大学附属医院多中心临床协作研究资助项目(LCYJ-A04) （LCYJ-A04）
