导管消融是心房颤动(简称房颤)患者维持窦性心律较为有效的方法。而脉冲电场消融(pulsed field ablation,PFA)作为一种新的消融能量形式,具有组织选择性,其在阵发性房颤中的疗效已得到临床证实。而持续性房颤的消融更复杂、风险更高,目...导管消融是心房颤动(简称房颤)患者维持窦性心律较为有效的方法。而脉冲电场消融(pulsed field ablation,PFA)作为一种新的消融能量形式,具有组织选择性,其在阵发性房颤中的疗效已得到临床证实。而持续性房颤的消融更复杂、风险更高,目前PFA在持续性房颤中的应用也在逐渐增多。本文对PFA治疗持续性房颤的效果、并发症及其消融策略的最新研究进展进行综述。展开更多
目的:探讨影响射频消融手术成功率的相关因素,以及术中不同转窦方式对持续性心房颤动患者预后的影响。方法:选自2017年1月至2022年1月期间在聊城市人民医院心内科住院的365例持续性心房颤动患者,按照不同的转复方式进行分组:消融 + 电...目的:探讨影响射频消融手术成功率的相关因素,以及术中不同转窦方式对持续性心房颤动患者预后的影响。方法:选自2017年1月至2022年1月期间在聊城市人民医院心内科住院的365例持续性心房颤动患者,按照不同的转复方式进行分组:消融 + 电复律转窦组(N = 260)、消融术中转窦组(N = 105)。1) 通过临床资料分析手术成功相关因素,并进一步运用logistic对相关因素进行分析,得出与手术成功相关的独立因素;2) 对两组患者进行随访分析,统计不同转窦方式术后6个月、12个月、18个月的复发率。结果:研究发现患者的左心房前后径、左室射血分数、年龄、吸烟史、饮酒史、卒中评分是手术成功的相关因素(P Objective: To investigate the related factors affecting the success rate of radiofrequency ablation and the effect of different sinus transfer methods on the prognosis of patients with persistent atrial fibrillation. Methods: A total of 365 patients with persistent atrial fibrillation hospitalized in the Department of Cardiology, Liaocheng People’s Hospital from January 2017 to January 2022 were selected and divided into two groups according to different cardioversion methods: ablation + electrical cardioversion group (N = 260) and successful ablation group (N = 105). 1) The factors related to the success of the operation were analyzed by clinical data, and Logic was further used to analyze the relevant factors to obtain the independent factors related to the success of the operation;2) Follow-up analysis was conducted for the two groups of patients, and the recurrence rates of different sinus transfer methods were counted at 6, 12 and 18 months after operation. Results: It was found that left atrial diameter, left ventricular ejection fraction, smoking history, drinking history and stroke score were related factors to the success of surgery (P < 0.05). Logistic regression analysis showed that left atrial diameter, drinking history, age and stroke score were independent risk factors for the success of radiofrequency surgery (P < 0.05). The recurrence rate of successful radiofrequency ablation group was significantly lower than that of electrical cardioversion group at 6 months, 12 months and 18 months after operation (P < 0.05). Conclusion: Left atrial diameter, history of alcohol consumption and stroke score are independent risk factors for the success of radiofrequency surgery. The recurrence rate of successful radiofrequency ablation group is significantly lower than that of electrical cardioversion group.展开更多
文摘导管消融是心房颤动(简称房颤)患者维持窦性心律较为有效的方法。而脉冲电场消融(pulsed field ablation,PFA)作为一种新的消融能量形式,具有组织选择性,其在阵发性房颤中的疗效已得到临床证实。而持续性房颤的消融更复杂、风险更高,目前PFA在持续性房颤中的应用也在逐渐增多。本文对PFA治疗持续性房颤的效果、并发症及其消融策略的最新研究进展进行综述。
文摘目的:探讨影响射频消融手术成功率的相关因素,以及术中不同转窦方式对持续性心房颤动患者预后的影响。方法:选自2017年1月至2022年1月期间在聊城市人民医院心内科住院的365例持续性心房颤动患者,按照不同的转复方式进行分组:消融 + 电复律转窦组(N = 260)、消融术中转窦组(N = 105)。1) 通过临床资料分析手术成功相关因素,并进一步运用logistic对相关因素进行分析,得出与手术成功相关的独立因素;2) 对两组患者进行随访分析,统计不同转窦方式术后6个月、12个月、18个月的复发率。结果:研究发现患者的左心房前后径、左室射血分数、年龄、吸烟史、饮酒史、卒中评分是手术成功的相关因素(P Objective: To investigate the related factors affecting the success rate of radiofrequency ablation and the effect of different sinus transfer methods on the prognosis of patients with persistent atrial fibrillation. Methods: A total of 365 patients with persistent atrial fibrillation hospitalized in the Department of Cardiology, Liaocheng People’s Hospital from January 2017 to January 2022 were selected and divided into two groups according to different cardioversion methods: ablation + electrical cardioversion group (N = 260) and successful ablation group (N = 105). 1) The factors related to the success of the operation were analyzed by clinical data, and Logic was further used to analyze the relevant factors to obtain the independent factors related to the success of the operation;2) Follow-up analysis was conducted for the two groups of patients, and the recurrence rates of different sinus transfer methods were counted at 6, 12 and 18 months after operation. Results: It was found that left atrial diameter, left ventricular ejection fraction, smoking history, drinking history and stroke score were related factors to the success of surgery (P < 0.05). Logistic regression analysis showed that left atrial diameter, drinking history, age and stroke score were independent risk factors for the success of radiofrequency surgery (P < 0.05). The recurrence rate of successful radiofrequency ablation group was significantly lower than that of electrical cardioversion group at 6 months, 12 months and 18 months after operation (P < 0.05). Conclusion: Left atrial diameter, history of alcohol consumption and stroke score are independent risk factors for the success of radiofrequency surgery. The recurrence rate of successful radiofrequency ablation group is significantly lower than that of electrical cardioversion group.
