便携式心电记录仪在心房颤动射频消融术后随访中的应用  

Application of portable electrocardiogram recorder in follow-up of patients with atrial fibrillation after radiofrequency ablation

作　　者：杨斌[1] 谭丽娟[1] 郑春燕[2] 李姗[1] 王光强[3] 

机构地区：[1]青岛大学附属医院黄岛院区心血管内科,266555 [2]青岛大学附属医院黄岛院区妇科,266555 [3]山东大学齐鲁医院青岛院区呼吸内科,青岛266035

出　　处：《新医学》2016年第6期377-379,共3页Journal of New Medicine

基　　金：青岛市开发区科技开发局科技立项(2012-2-62)

摘　　要：目的探讨便携式心电记录仪在心房颤动射频消融术后随访中的应用。方法选择心房颤动射频消融手术患者87例,对患者进行术后1、2、3个月随访,每次随访行常规12导联心电图、24 h动态心电图及至少72 h便携式心电记录仪的监测,记录患者的心房颤动、心房扑动、房性心动过速的发作情况。结果常规12导联心电图发现房性心律失常19例(22%),动态心电图发现房性心律失常23例(26%),便携式心电记录仪发现房性心律失常35例(40%),便携式心电记录仪阳性发现率远远高于常规12导联心电图及动态心电图(P均<0.01)。结论便携式心电记录仪能够更有效地发现房颤射频消融术后的复发,对术后干预的最佳策略及最佳时机提供更为精确的事实依据。Objective To investigate the application value of portable electrocardiogram recorder in the follow-up of patients diagnosed with atrial fibrillation after radiofrequency ablation. Methods Eighty seven patients with atrial fibrillation undergoing radiofrequency ablation were enrolled and subject to 1-,2- and 3-month follow-up. During each round of follow-up,all patients received the 12-lead electrocardiogram,24-h dynamic electrocardiogram and portable electrocardiogram recorder( at least 72 h) to monitor and record the episode of atrial fibrillation,atrial flutter and atrial tachycardia. Results Routine 12-lead electrocardiogram detected atrial arrhythmia in 19 patients( 22%),23( 26%) by 24-h dynamic electrocardiogram and 35( 40%)by portable electrocardiogram recorder. The positive detection rate of portable electrocardiogram recorder was significantly higher than those of routine 12-lead electrocardiogram and 24-h dynamic electrocardiogram( both P< 0. 01). Conclusions Portable electrocardiogram recorder can effectively detect the recurrence of atrial fibrillation after radiofrequency ablation,and provides accurate evidence for the optimal intervention strategy and timing after surgery.

关 键 词：心电描计术 便携式 射频消融 心房颤动 

分 类 号：R541.75[医药卫生—心血管疾病]