冠状动脉旁路移植术后心房颤动临床研究  

A study of atrial fibrillation after coronary artery bypass graft

作　　者：高明明[1] 胡大一[1] 王红石[1] 顾松[1] 贾三庆[1] 许玉韵[1] 

机构地区：[1]首都医科大学北京红十字朝阳医院心脏中心,100020

出　　处：《中华心律失常学杂志》2000年第4期259-261,共3页Chinese Journal of Cardiac Arrhythmias

摘　　要：目的　调查冠状动脉旁路移植术后心房颤动 (房颤 )发生率和临床表现 ,并探讨其易患危险因素。　方法　连续收集 116例接受冠状动脉旁路移植手术的冠心病患者 ,男性 93例 ,女性 2 3例 ,术后监测心律状况、观察临床特点。详尽考查患者术前、术中、术后诸因素 (变量 )。采用单因素分析和逻辑多元回归分析 ,筛选术后房颤相关因素。　结果　 33例于冠状动脉旁路移植术后出现房颤 ,发生率2 8.4%。发生房颤者大多有明显症状 ,经静脉药物转复率较低 ,多元回归分析表明高龄、左心房扩大为冠状动脉旁路移植术后发生房颤的独立危险因素。　结论　房颤为冠状动脉旁路移植术后常见心律失常 ;Objective To determine the current incidence of atrial fibrillation (AF) following coronary artery bypass graft (CABG);analyze its clinical caracteristics and identify its clinical predictors. Methods One hundred and sixteen patients undergoing CABG without concurrent valvular surgery were involved.The preoperative,intraoperative and postoperative data were collected on standardized reporting forms. Results AF occurred in 33 patients (28 4%).The average age for patients with AF was (67 0±4 9) years as compared with (57 3±8 4) for patients without (P=0 001).Multivariate logistic regression analysis was used to identify the following independent predictors of postoperative AF:increasing age,dilating left atrium. Conclusions AF remains to be the most common complication after CABG.Age of the patient,the size of atrium are independent risk factors for the development of AF after CABG.

关 键 词：心房颤动 冠状动脉旁路移植术 手术后 

分 类 号：R654.2[医药卫生—外科学]