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Eur Heart J:导管消融治疗室上性心动过速的长期症状改善和患者满意度

2017-05-02 xiangting MedSci原创

SVT的消融治疗是一个安全的手术,在1年后对四分之三的患者带来症状改善和满意。即使在心律失常复发的患者中,也可以观察到高满意度和对消融机构的依赖。

这项研究旨在分析德国消融质量注册机构内室上性心动过速(SVT)的消融结果。

数据来自于2007年1月至2010年1月期间接受SVT导管消融术的12 566例患者,其中包括房颤(AFIB,手术的37.2%),心房扑动(AFL,29.9%),房室结折返性心动过速(AVNRT,23.2%),房室复发性心动过速(6.3%)和局灶性房性心动过速(AT,3.4%)。患者被随访至少1年。围手术期成功率为96.3%,范围从84.3%(局灶性AT)到98.9%(AVNRT)。1年的Kaplan-Meier死亡率估计为1.4%,AFL组高达2.6%,局灶性AT组为2.8%。3783例(32.6%)患者出现再次消融或其他症状性SVT,范围从17.2%(AVNRT)至45.6%(AFIB)。12.0%的患者重复消融。1年后,74.1%患者被认为消融治疗成功,15.7%为部分成功,9.6%为失败。即使在那些心律失常复发的患者中,76.0%认为消融成功或部分成功,89.6%的患者仍然会在同一机构接受重复消融。

SVT的消融治疗是一个安全的手术,在1年后对四分之三的患者带来症状改善和满意。即使在心律失常复发的患者中,也可以观察到高满意度和对消融机构的依赖。在AFL患者的随访中观察到高死亡率和中风率,这说明AFL患者需要长期的抗凝治疗和更多的医疗处理。

原始出处:

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    2017-05-04 zhaojie88
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topicName=导管消融)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fd042221840, createdName=wjcjjian, createdTime=Thu May 04 01:21:00 CST 2017, time=2017-05-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1421663, encodeId=3f1a1421663e6, content=<a href='/topic/show?id=4bc865819d2' target=_blank style='color:#2F92EE;'>#消融#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65819, encryptionId=4bc865819d2, topicName=消融)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1a193676008, createdName=xiangyuzhou972, createdTime=Thu May 04 01:21:00 CST 2017, time=2017-05-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1471098, encodeId=46aa14e109819, content=<a href='/topic/show?id=f06c5090466' target=_blank style='color:#2F92EE;'>#心动过速#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50904, encryptionId=f06c5090466, topicName=心动过速)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=35817104001, createdName=fengyi814, createdTime=Thu May 04 01:21:00 CST 2017, time=2017-05-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1478644, encodeId=257e14e864475, content=<a href='/topic/show?id=d561665e7af' target=_blank style='color:#2F92EE;'>#满意度#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=66577, encryptionId=d561665e7af, topicName=满意度)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d1627448984, createdName=ms1692212821629096, createdTime=Thu May 04 01:21:00 CST 2017, time=2017-05-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1562509, encodeId=c95b1562509f1, content=<a href='/topic/show?id=f69d864413' target=_blank style='color:#2F92EE;'>#HEART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8644, encryptionId=f69d864413, topicName=HEART)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=80d715270048, createdName=slcumt, createdTime=Thu May 04 01:21:00 CST 2017, time=2017-05-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1597722, encodeId=fa38159e72221, content=<a href='/topic/show?id=28986582e02' target=_blank style='color:#2F92EE;'>#消融治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65827, encryptionId=28986582e02, topicName=消融治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f07818523366, createdName=zhishijing, createdTime=Thu May 04 01:21:00 CST 2017, time=2017-05-04, status=1, ipAttribution=)]
    2017-05-04 slcumt
  9. [GetPortalCommentsPageByObjectIdResponse(id=1924786, encodeId=37d11924e861a, content=<a href='/topic/show?id=5d87530552b' target=_blank style='color:#2F92EE;'>#患者满意度#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=53055, encryptionId=5d87530552b, topicName=患者满意度)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30bd35, createdName=bugit, createdTime=Sun Jul 09 08:21:00 CST 2017, time=2017-07-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1937398, encodeId=5194193e398cb, content=<a href='/topic/show?id=24f3462064a' target=_blank style='color:#2F92EE;'>#室上性心动过速#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46206, encryptionId=24f3462064a, topicName=室上性心动过速)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=346311, 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likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50904, encryptionId=f06c5090466, topicName=心动过速)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=35817104001, createdName=fengyi814, createdTime=Thu May 04 01:21:00 CST 2017, time=2017-05-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1478644, encodeId=257e14e864475, content=<a href='/topic/show?id=d561665e7af' target=_blank style='color:#2F92EE;'>#满意度#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=66577, encryptionId=d561665e7af, topicName=满意度)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d1627448984, createdName=ms1692212821629096, createdTime=Thu May 04 01:21:00 CST 2017, time=2017-05-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1562509, encodeId=c95b1562509f1, content=<a href='/topic/show?id=f69d864413' target=_blank style='color:#2F92EE;'>#HEART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8644, encryptionId=f69d864413, topicName=HEART)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=80d715270048, createdName=slcumt, createdTime=Thu May 04 01:21:00 CST 2017, time=2017-05-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1597722, encodeId=fa38159e72221, content=<a href='/topic/show?id=28986582e02' target=_blank style='color:#2F92EE;'>#消融治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65827, encryptionId=28986582e02, topicName=消融治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f07818523366, createdName=zhishijing, createdTime=Thu May 04 01:21:00 CST 2017, time=2017-05-04, status=1, ipAttribution=)]
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