代谢综合征与阵发性房颤患者左房大小的关系  

Relationship between the metabolic syndrome and left atrium size of patients with paroxysmal atrial fibrillation

作　　者：杨颖[1] 汤永庆[1] 陈义汉[1] 

机构地区：[1]同济大学附属同济医院心内科,上海200065

出　　处：《同济大学学报（医学版）》2009年第2期63-65,共3页Journal of Tongji University(Medical Science)

基　　金：863计划资助项目(2007AA02Z438)

摘　　要：目的比较有或无代谢综合征的非瓣膜性心房颤动患者的左房内径大小。方法56例阵发性房颤患者纳入研究,根据有无代谢综合征,患者被分为两组,代谢综合征组患者26例,非代谢综合征组患者30例。代谢综合征的诊断为美国国家胆固醇教育计划成人治疗组(NCEP-ATPⅢ)制定的标准,并结合国内情况将腹部肥胖的切点改为男性腰围≥85 cm,女性腰围≥80 cm。超声心动图测量左房内径。结果代谢综合征组患者的平均左房内径(45.8±4.2)mm,非代谢综合征组平均左房内径为(37.5±4.9)mm(P<0.05)。结论代谢综合征患者因左房内径增大与阵发性房颤发生有关。Objective To compare the left atrium size in patients who suffered from nonvalvular paroxysmal atrial fibrillation（AF） with or without metabolic syndrome（MS）.Methods The study population consisted of 56 patients who presented with paroxysmal atrial fibrillation.They were divided into two groups： 26 patients with MS and other 30 patients without MS.MS was diagnosed by the standard issued from National Cholesterol Education Program Adult Treatment Panel Ⅲ（NCEP-ATP Ⅲ） but the criteria of the abdominal obesity has been altered,such as waist circumference 〉85 cm in men and 〉80 cm in women according to domestic situation.The internal diameter of left atrium was assessed by 2-dimensional echocardiogram.Results Patients with MS had a mean left atrium size of（45.8±4.2）mm and those without MS had a mean left atrium size of（37.5±4.9）mm（P〈0.05）.Conclusion MS may favor the occurrence of paroxysmal AF by increasing atrial size.

关 键 词：心房颤动 代谢综合征 左房 

分 类 号：R541.7[医药卫生—心血管疾病]