双腔起搏器植入后发生心房颤动的相关因素分析  

Correlation analysis of risk factors of atrial fibrillation after artificial cardiac pacemaker implantation

作　　者：陆秋芬[1] 俞洁霏[2] 孙健[1] 刘晓红[1] 李毅刚[1] 陆尚彪[1] 

机构地区：[1]上海交通大学医学院附属新华医院心内科,上海200092 [2]上海交通大学医学院附属新华医院老年科,上海200092

出　　处：《中国心脏起搏与心电生理杂志》2010年第4期301-303,共3页Chinese Journal of Cardiac Pacing and Electrophysiology

摘　　要：目的探讨人工心脏起搏器植入后发生心房颤动(AF)的相关因素。方法回顾分析128例因病窦综合征植入双腔起搏器的患者,其中发生AF的作为AF组(n=56),没有发生AF的为非AF组(n=72),分析两组患者术前和术后临床事件的发生情况,并作logistic回归分析。结果 128例患者,AF组56例、非AF组72例,除AF组患者,既往有AF病史的比例显著高于非AF组(42.9%vs23.6%,P=0.021)外,两组基本临床资料一致。心房起搏百分比、心室起搏百分比、二尖瓣返流程度与心脏起搏器植入术后AF的发生显著相关(r分别为0.907,1.190,2.722,P均<0.05)。结论双腔起搏器植入患者AF发生率与心房和心室起搏比例和二尖瓣返流相关。Objective To investigate the risk factors of atrial fibrillation （AF） after artificial cardiac pacemaker im- plantation. Methods Correlation analysis of risk factors were carried out to assess the clinieal events before and after operation period in 128 patients with implantation of permanent pacemaker, including 56 patients with AF （AF group）, compared with 72 patients without AF （ non-AF group）. Results In AF group, the ratio of AF history（42.9% vs 23.6%, P = 0. 021 ）was higher than non-AF group. The logistic regression on multiple factors analysis showed that the percentage of atrial pacing, the percentage of ventrical pacing, and the degree of mitral regurgitation were related to the occurrence of AF after artificial cardiac pacemaker implantation（ r = 0. 907,1. 190,2. 722, all P 〈 0. 05 ）. Conclusion Higher percentages of both right atrial pacing and ventrical pacing as well as mitral regurgitation are associated with a greater risk of postim- plantation AF. [ Chinese Journal of Cardiac Pacing and Electrophysiology,2010,24（ 4 ） ：301 - 303 ]

关 键 词：心血管病学 心脏起搏器 人工 心房颤动 风险因素 

分 类 号：R318.11[医药卫生—生物医学工程] R541.75[医药卫生—基础医学]