HATCH评分系统对典型心房扑动导管消融术后患者新发心房颤动的预测价值  

Predictive value of HATCH scoring system to new-onset atrial fibrillation in patients with typical atrial flutter after catheter ablation

作　　者：陈珂[1] 王现青[1] 宋卫峰[1] 臧小彪[1] 马继芳[1] 高传玉[1] Chen Ke;Wang Xianqing;Song Weifeng;Zang Xiaobiao;Ma Jifang;Gao Chuanyu(Heart Center,People's Hospital of Henan Province,Huazhong Fuwai Hospital,Zhengzhou University,Zhengzhou 451464,China)

机构地区：[1]河南省人民医院心脏中心,华中阜外医院,郑州大学华中阜外医院,郑州451464

出　　处：《中国循证心血管医学杂志》2020年第4期433-435,共3页Chinese Journal of Evidence-Based Cardiovascular Medicine

基　　金：河南省医学科学攻关项目(201702163);河南省科技厅科技攻关项目(172102310065)。

摘　　要：目的分析HATCH评分系统对典型心房扑动导管消融术后患者新发心房颤动的预测价值。方法选取2014年1月至2019年1月于河南省人民医院心血管内科接受导管消融的110例典型心房扑动患者为研究对象,所有患者均使用HATCH评分系统进行评分,并对导管消融后新发心房颤动发生情况随访。分析评分结果与新发心房颤动发生的关系,评价该评分系统对典型房扑导管消融术后新发心房颤动的预测价值。结果平均随访(28.85±18.26)个月后,43例患者(39.09%)发生新发心房颤动。多因素Cox回归分析显示HATCH积分与新发心房颤动独立相关(风险比:4.484;95%可信区间:2.152~9.343,P<0.001)。ROC曲线显示HATCH评分为2分时,AUC值最大,预激的敏感性、特异性分别为51.2%、85.1%。HATCH≥2分组新发房颤发生率显著高于HATCH<2分组(68.75%vs.26.92%,P<0.05)。结论HATCH评分系统可用于典型心房扑动导管消融术后患者新发心房颤动的危险分层。Objective To analyze the predictive value of HATCH scoring system to new-onset atrial fibrillation(AF)in patients with typical atrial flutter(AFL)after catheter ablation.Methods AFL patients(n=110)received catheter ablation procedure were chosen as study objects from Department of Cardiovascular Medicine in People’s Hospital of Henan Province from Jan.2014 to Jan.2019.All patients were scored by using HATCH scoring system,and the incidence of new-onset AF after catheter ablation was followed up.The relationship between the scoring results and incidence of new-onset AF was analyzed.The predictive value of HATCH scoring system to new-onset AF after catheter ablation for AFL was reviewed.Results After followed up for averagely(28.85±18.26)months,new-onset AF occurred in 43 patients(39.09%).The results of Cox regression analysis showed that HATCH scores were independently correlated to new-onset AF(RR=4.484,95%CI:2.152~9.343,P<0.001).The results of ROC curve analysis showed that when HATCH score was over 2,AUC was the biggest,and the sensitivity was 51.2%and specificity was 85.1%.The incidence rate of new-onset AF was significantly higher in patients with HATCH≥2 than that in patients with HATCH<2(68.75%vs.26.92%,P<0.05).Conclusion HATCH scoring system can be applied in risk stratification of new-onset AF in patients with AFL after catheter ablation.

关 键 词：心房扑动 心房颤动 导管消融 HATCH评分系统 预测价值 

分 类 号：R541.75[医药卫生—心血管疾病]