陶海龙,马长生,董建增,刘兴鹏,龙德勇,喻荣辉,汤日波

• 1:首都医科大学北京安贞医院心内科
• 2:郑州大学第一附属医院心内科

摘要(Abstract)：

目的研究房颤导管消融术后极晚期复发患者的临床特点及极晚期复发的临床预测因素。方法对心房颤动导管消融治疗后的复发患者进行回顾性研究,分析其临床特征并总结出极晚期复发的临床预测因素。结果共计235例患者入选该研究,射频消融后平均随访(18.2±4.6)个月,12例(5.1%)患者出现极晚期复发。极晚期复发、晚期复发与无复发3组患者组间比较显示,持续性房颤、术中电复律比例、完全肺静脉隔离率以及早期复发发生率在3组间差异具有统计学意义。Logistic单因素分析显示,早期复发(OR9.223,95%CI2.087～30.409;P=0.002)、持续性房颤(OR4.799,95%CI1.152～12.777;P=0.028)与极晚期复发相关。Logistic多元回归分析显示,早期复发是极晚期复发的惟一临床预测指标(OR=7.798,95%CI1.893～38.249;P=0.005)。结论心房颤动射频消融术后极晚期复发并不常见,其发生与消融后早期复发相关。

关键词(KeyWords)： 房颤;复发;导管消融术

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 陶海龙,马长生,董建增,刘兴鹏,龙德勇,喻荣辉,汤日波

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