Int J Cardiol:房扑患者提前进行射频消融术对术后植入起搏器的影响。

2015-09-29 张旭栋 MedSci原创

西班牙圣地亚哥-德孔波斯特拉大学医院Rodríguez-Mañero M等人研究了房扑患者行射频消融术对于术后植入心脏起搏器的影响,其成果发表在9月份 International journal of cardiology期刊上。介绍:心房扑动射频消融后植入心脏起搏器的长期风险尚未可知。方法:研究回顾了两个西班牙大学医院1998至2012年间,纳入成功进行射频消融术三尖瓣峡部依赖性房扑患者的电生理

西班牙圣地亚哥-德孔波斯特拉大学医院Rodríguez-Mañero M等人研究了房扑患者行射频消融术对于术后植入心脏起搏器的影响,其成果发表在9月份 International journal of cardiology期刊上。

方法:研究回顾了两个西班牙大学医院1998至2012年间,纳入成功进行射频消融术三尖瓣峡部依赖性房扑患者的电生理数据。用Cox回归分析来检验植入心脏起搏器的风险。

结果:总共纳入了298例患者。纳入的患者平均年龄为65.7±11。在57.7±42.8个月期间,共有30例患者(10.1%)接受了心脏起搏器植入术。逐步多变量模型显示,植入心脏起搏器的独立预测因子只有消融心率(OR:0.96;95%CI:0.93-0.98; P <0.0001),心电图示室内传导障碍(OR:3.87; 95%CI:1.54- 9.70; p = 0.004)。随访中,通过ROC曲线分析,心率≤65bpm可作为最佳临界值,用于预测植入心脏起搏器预后(灵敏度:79%,特异性:74%)。

结论:

这是第一次研究了慢传导普通房扑和起搏器植入后续风险之间关联。根据这些研究结果,窦房结疾病或房室传导疾病植入心脏起搏器前,先进行射频消融术对于持续性房扑患者更有益。

原文出处

Rodriguez-Manero M, Gonzalez-Melchor L, Ballesteros G, Raposeiras-Roubin S, Seara JG, Lopez XA, Cambeiro CG, Alcalde O, Garcia-Bolao I, Martinez-Sande L, Juanatey JR. Risk of pacemaker implantation after uneventful successful cavotricuspid isthmus radiofrequency ablation in patients with common atrial flutter. International journal of cardiology. 2015;202:285-8.

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objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62645, encryptionId=7a736264553, topicName=植入)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=832411313664, createdName=jiyangfei, createdTime=Thu Oct 01 06:45:00 CST 2015, time=2015-10-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1560239, encodeId=30ae1560239da, content=<a href='/topic/show?id=a9fd65826da' target=_blank style='color:#2F92EE;'>#消融术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65826, encryptionId=a9fd65826da, topicName=消融术)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1c4415117207, createdName=dingxiaobo, createdTime=Thu Oct 01 06:45:00 CST 2015, time=2015-10-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1566248, encodeId=eeab156624844, content=<a href='/topic/show?id=a9fd65826da' target=_blank style='color:#2F92EE;'>#消融术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65826, encryptionId=a9fd65826da, topicName=消融术)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1c4415117207, createdName=dingxiaobo, createdTime=Thu Oct 01 06:45:00 CST 2015, time=2015-10-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=37580, encodeId=a0553e5800a, content=学习了,排版不好, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3b2c1627329, createdName=owlhealth, createdTime=Wed Sep 30 14:13:00 CST 2015, time=2015-09-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=37562, encodeId=c24b3e56265, content=值得借鉴, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9daf1619121, createdName=Keren1970, createdTime=Tue Sep 29 20:46:00 CST 2015, time=2015-09-29, status=1, ipAttribution=)]
    2015-10-01 HNYYM
  5. [GetPortalCommentsPageByObjectIdResponse(id=1781690, encodeId=9f2f1e8169027, content=<a href='/topic/show?id=5db8409ed8' target=_blank style='color:#2F92EE;'>#Cardiol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4097, encryptionId=5db8409ed8, topicName=Cardiol)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8e886, createdName=仁者大医, createdTime=Mon Jun 27 15:45:00 CST 2016, time=2016-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1694706, encodeId=6aae1694e06ff, content=<a href='/topic/show?id=471d4682409' target=_blank style='color:#2F92EE;'>#射频消融术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46824, encryptionId=471d4682409, topicName=射频消融术)], attachment=null, authenticateStatus=null, createdAvatar=null, 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encodeId=eeab156624844, content=<a href='/topic/show?id=a9fd65826da' target=_blank style='color:#2F92EE;'>#消融术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65826, encryptionId=a9fd65826da, topicName=消融术)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1c4415117207, createdName=dingxiaobo, createdTime=Thu Oct 01 06:45:00 CST 2015, time=2015-10-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=37580, encodeId=a0553e5800a, content=学习了,排版不好, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3b2c1627329, createdName=owlhealth, createdTime=Wed Sep 30 14:13:00 CST 2015, time=2015-09-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=37562, encodeId=c24b3e56265, content=值得借鉴, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9daf1619121, createdName=Keren1970, createdTime=Tue Sep 29 20:46:00 CST 2015, time=2015-09-29, status=1, ipAttribution=)]
  6. [GetPortalCommentsPageByObjectIdResponse(id=1781690, encodeId=9f2f1e8169027, content=<a href='/topic/show?id=5db8409ed8' target=_blank style='color:#2F92EE;'>#Cardiol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4097, encryptionId=5db8409ed8, topicName=Cardiol)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8e886, createdName=仁者大医, createdTime=Mon Jun 27 15:45:00 CST 2016, time=2016-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1694706, encodeId=6aae1694e06ff, content=<a href='/topic/show?id=471d4682409' target=_blank style='color:#2F92EE;'>#射频消融术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46824, encryptionId=471d4682409, topicName=射频消融术)], attachment=null, authenticateStatus=null, createdAvatar=null, 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encodeId=eeab156624844, content=<a href='/topic/show?id=a9fd65826da' target=_blank style='color:#2F92EE;'>#消融术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65826, encryptionId=a9fd65826da, topicName=消融术)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1c4415117207, createdName=dingxiaobo, createdTime=Thu Oct 01 06:45:00 CST 2015, time=2015-10-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=37580, encodeId=a0553e5800a, content=学习了,排版不好, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3b2c1627329, createdName=owlhealth, createdTime=Wed Sep 30 14:13:00 CST 2015, time=2015-09-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=37562, encodeId=c24b3e56265, content=值得借鉴, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9daf1619121, createdName=Keren1970, createdTime=Tue Sep 29 20:46:00 CST 2015, time=2015-09-29, status=1, ipAttribution=)]
    2015-10-01 jiyangfei
  7. 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content=值得借鉴, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9daf1619121, createdName=Keren1970, createdTime=Tue Sep 29 20:46:00 CST 2015, time=2015-09-29, status=1, ipAttribution=)]
  8. 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  9. 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content=值得借鉴, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9daf1619121, createdName=Keren1970, createdTime=Tue Sep 29 20:46:00 CST 2015, time=2015-09-29, status=1, ipAttribution=)]
    2015-09-30 owlhealth

    学习了,排版不好

    0

  10. 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content=值得借鉴, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9daf1619121, createdName=Keren1970, createdTime=Tue Sep 29 20:46:00 CST 2015, time=2015-09-29, status=1, ipAttribution=)]
    2015-09-29 Keren1970

    值得借鉴

    0