首页|经皮卵圆孔未闭介入封堵术后新发心房颤动的单中心临床研究

经皮卵圆孔未闭介入封堵术后新发心房颤动的单中心临床研究

扫码查看
目的 探讨卵圆孔未闭(PFO)介入封堵术后1个月新发心房颤动(AF)的发生率并分析术后AF发生的潜在危险因素.方法 2022年1月至2023年11月在南京医科大学附属泰州人民医院心内科住院接受PFO封堵术治疗的患者152例,术后1个月利用动态心电图监测AF发生率,比较有无新发AF的患者临床特征.结果 152例PFO患者均成功进行PFO封堵术,术后1个月随访,8例(5.3%)患者存在AF(AF组),144例患者未发现AF发作(无AF组).AF组和无AF组在年龄、男性比例、PFO直径、PFO长度及封堵器大小方面存在统计学差异(P<0.05).单因素和多因素Cox回归分析结果显示,年龄、男性、封堵器大小是PFO后AF发生的独立危险因素(P<0.05).结论 PFO封堵术后存在一定新发AF的风险,年龄较大、男性和较大的封堵器尺寸是PFO术后AF的独立危险因素.
A single-center Clinical Study of New Onset Atrial Fibrillation after Transcatheter Closure of Patent Foramen Ovale
Objective To investigate the incidence of new onset atrial fibrillation(AF)1 month after transcatheter closure of patent foramen ovale(PFO)and analyze the potential risk factors of AF.Methods From January 2022 to November 2022,152 patients underwent PFO were enrolled.The incidence of AF was monitored by dynamic electrocardiogram 1 month after the procedure,the clinical characteristics of patients with(AF group)and with-out(non-AF group)new onset AF were compared.Results AF occurred in 8 patients(5.3%)after PFO closure.There were significant differences in age,male proportion,PFO diameter,PFO length and occluder size between AF group and non-AF Group(P<0.05).Univariate and multivariate Cox regression analysis showed that age,male proportion and occluder size were independent risk factors for AF after PFO(P<0.05).Conclusion There was a risk of new AF after PFO closure.Older age,male and larger size of occluder were independent risk factors for AF after PFO closure.

patent foramen ovaleatrial fibrillationrisk factors

王飞、鲍婷婷、龚梅、高琳琳、陈各才、阮中宝

展开 >

南京医科大学附属泰州人民医院,江苏 泰州 225300

卵圆孔未闭 心房颤动 危险因素

2024

泰州职业技术学院学报
泰州职业技术学院

泰州职业技术学院学报

影响因子:0.285
ISSN:1671-0142
年,卷(期):2024.24(5)