JACC：偿性心衰导管消融治疗或可行

2013-08-06 晓静编译 cmt

近期发表于《美国心脏病学会杂志》（J Am Coll Cardiol）的一项小型无对照研究表明，对心房颤动合并射血分数保留的心力衰竭（HFPEF）患者行药物或反复手术的复合治疗手段是有效和安全的。但尚需大型随机对照研究证实上述房颤患者导管消融治疗的获益情况。该研究纳入74例代偿性HFPEF合并房颤行导管消融的患者。调查导管消融后无房颤可能性和窦性心律维持的相关因素

近期发表于《美国心脏病学会杂志》（J Am Coll Cardiol）的一项小型无对照研究表明，对心房颤动合并射血分数保留的心力衰竭（HFPEF）患者行药物或反复手术的复合治疗手段是有效和安全的。但尚需大型随机对照研究证实上述房颤患者导管消融治疗的获益情况。

该研究纳入74例代偿性HFPEF合并房颤行导管消融的患者。调查导管消融后无房颤可能性和窦性心律维持的相关因素。在基线水平和消融后12个月期间利用超声心动图评估左心室应变和应变率。

结果显示，在随访的34±16个月期间，无药物治疗的单次和多次手术成功率分别为27% （n=20）和45% （n=33）。多次手术和药物辅助治疗的成功率为73% （n=54）。随访期间无并发症发生。多变量Cox回归分析显示，房颤类型（除外长程持续性房颤）和无高血压与窦性心律维持独立相关（HR分别为1.81和0.49，P=0.04）。在随访期间，左室收缩指数和舒张指数仅在维持窦性心律的患者中有所改善。

Tomoko Machino-Ohtsuka; Yoshihiro Seo; Tomoko Ishizu; Akinori Sugano; Akiko Atsumi; Masayoshi Yamamoto; Ryo Kawamura; Takeshi Machino; Kenji Kuroki; Hiro Yamasaki; Miyako Igarashi; Yukio Sekiguchi; Kazutaka Aonuma.Efficacy, Safety and Outcomes of Catheter Ablation of Atrial Fibrillation in Patients with Heart Failure with Preserved Ejection Fraction.J Am Coll Cardiol. 2013;():. doi:10.1016/j.jacc.2013.07.020div>

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2014-01-08 hbwxf

#JACC#

77 0
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2013-08-07 12498568m50暂无昵称

#ACC#

49 0
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2013-08-07 wjcjjian

#导管消融#

75 0
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2013-08-07 xiangyuzhou972

#消融#

70 0
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2013-08-07 zhishijing

#消融治疗#

75 0

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