实用心电与临床诊疗2025，Vol.34Issue(6)：805-810,6.DOI:10.13308/j.issn.2097-5716.2025.06.005
脓毒性休克患者新发心房颤动的危险因素分析
Analysis of risk factors for new-onset atrial fibrillation in patients with septic shock
摘要
Abstract
Objective To investigate the risk factors for new-onset atrial fibrillation(AF)in patients with septic shock,and their impact on prognosis.Methods A total of 302 patients with septic shock were retrospectively enrolled,and divided into an AF group and a control group based on the occurrence of new-onset AF.Baseline characteristics were compared between the two groups.Univariate and multivariate Logistic regression analyses were used to identify independent risk factors for new-onset AF.Propensity score matching(PSM)analysis was employed to assess the impact of new-onset AF on the prognosis of patients.Results During hospitalization,57 patients developed new-onset AF.Compared with the control group,patients in the AF group were older,with a larger left atrial diameter,and lower left ventricular ejection fraction.Multivariate Logistic regression analysis identified age,left atrial diameter,and electrolyte disturbances as independent risk factors for new-onset AF in patients with septic shock.PSM analysis revealed that patients in the AF group had significantly prolonged ICU length of stay,although there was no statistically significant difference in in-hospital mortality between the two groups.Conclusion The incidence of new-onset AF is high in patients with septic shock,and it significantly prolongs ICU length of stay.Age,enlargement of left atrial diameter,and electrolyte disturbances serve as independent risk factors for new-onset AF,providing a basis for early risk stratification and targeted intervention.关键词
脓毒性休克/心房颤动/左心房内径/年龄/电解质紊乱Key words
septic shock/atrial fibrillation/left atrial diameter/age/electrolyte disturbance分类
医药卫生引用本文复制引用
TANG Wenjuan,ZHANG Baowei..脓毒性休克患者新发心房颤动的危险因素分析[J].实用心电与临床诊疗,2025,34(6):805-810,6.基金项目
上海市浦东新区科技发展基金民生科研专项(PKJ2025-Y12) （PKJ2025-Y12）
