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心房颤动导管射频消融术后复发危险因素的研究进展

陈 美希

摘要

心房颤动是目前最常见的一种心律失常,导管射频消融术是治疗该病的一种有效方法。然而,
术后复发率仍较高。文章列举了多个影响射频消融术后复发的危险因素,包括饮酒、睡眠呼吸暂停综合征、肥胖、
血清学指标、左心耳体积、心脏纤维化程度等。此外,还介绍了预测房颤复发效能较高的评分方法及心电图特征,
通过了解这些,可以降低患者术后复发率,减轻疾病负担。

关键词

心房颤动;导管射频消融术;饮酒;睡眠呼吸暂停综合征;肥胖;血清学指标;左心耳体积; 心脏纤维化程度

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参考

[1]Bizhanov K A,Аbzaliyev K B,Baimbetov A K,et

al.Atrial fibrillation:Epidemiology,pathophysiology,and

clinical complications(literature review).J Cardiovasc Electr

ophysiol,2023,34(1):153-165.

[2]Buist T J,Zipes D P,Elvan A.Atrial fibrillation

ablation strategies and technologies:past,present,and

future[J].Clin Res Cardiol,2021,110(6):775-788.

[3] 范建华 , 刘庆军 . 高功率短时程射频消融治

疗心房颤动的研究进展 [J]. 心血管病学进展 ,2020,41

(08):806-808.

[4]Grindal A W,Sparrow R T,Mcintyre W F,et

al.Alcohol Consumption and Atrial Arrhythmia Recurrence

After Atrial Fibrillation Ablation:A Systematic Review and

Meta-analysis[J].Can J Cardiol,2023,39(3):266-273.

[5]Affas Z,Affas S,Tabbaa K.Continuous positive

airway pressure reduces the incidence of atrial fibrillation in

patients with obstructive sleep apnea:A Meta-Analysis and

Systematic Review[J].Spartan Med Res J,2022,7(2):34521.

[6]Pisani C F,Scanavacca M.Obesity and

Epicardial Fat Associated with Higher Atrial Fibrillation

Recurrence After Ablation:Just Coincidence?[J].Arq Bras

Cardiol,2022,118(4):743-744.

[7]Fan J,Li Y,Yan Q,et al.Higher serum sST2 is

associated with increased left atrial low-voltage areas

and atrial fibrillation recurrence in patients undergoing

radiofrequency ablation[J].J Interv Card Electrophysi

ol,2022,64(3):733-742.

[8]Szilágyi J,Sághy L.Atrial Remodeling in

Atrial Fibrillation.Comorbidities and Markers of Disease

Progression Predict Catheter Ablation Outcome[J].Curr

Cardiol Rev,2021,17(2):217-229.

[9]Liu Z,Mei X,Jiang H,et al.Left Atrial Appendage

Volume Predicts Atrial Fibrillation Recurrence after

Radiofrequency Catheter Ablation:A Meta-Analysis[J].Arq

Bras Cardiol,2023,120(3):e20220471.

[10]Kosiuk J,Dinov B,Kornej J,et al.Prospective

,multicenter validation of a clinical risk score for left atrial

arrhythmogenic substrate based on voltage analysis:DRFLASH score[J].Heart Rhythm,2015,12(11):2207-2212.

[11]Suwanto D,Budi Mulia EP.P Wave Index

and Atrial Fibrillation Recurrence.Turk Kardiyol Dern

Ars.2022 Dec;50(8):622.

[12]Erhard N,Mauer T,Ouyang F,et al.Mechanisms

of late arrhythmia recurrence after initially successful

pulmonary vein isolation in patients with atrial fibrillation[J].

Pacing Clin Electrophysiol,2023,46(2):161-168.


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