经导管封堵卵圆孔未闭患者术后新发心房颤动的临床观察  

Observation of the incidence of new onset atrial fibrillation after transcatheter closure of patent foramen ovale

作　　者：童一帆[1] 刘丽赟[1] 黄鑫[1] 邓雨晴[1] 李顺辉[1] Tong Yifan;Liu Liyun;Huang Xin;Deng Yuqing;Li Shunhui(Department of Cardiology,Third Affiliated Hospital of Nanchang University,Nanchang,Jiangxi,330008,China)

机构地区：[1]南昌大学第三附属医院心内科,江西南昌330008

出　　处：《当代医学》2020年第21期12-14,共3页Contemporary Medicine

基　　金：江西省卫健委普通科技计划(20171261)。

摘　　要：目的观察经导管卵圆孔未闭封堵后新发心房颤动的发生情况以及影响因素。方法选取2014年1月至2018年9月在本院接受卵圆孔未闭封堵术患者共66例(其中不明原因脑卒中37例、偏头痛29例)。患者术前行24 h动态心电图,术后1周、1个月、3个月及6个月接受24 h动态心电图及经胸超声心动图检查。结果 66例均成功完成封堵术,术后共发现新发心房颤动3例(3例患者均合并房间隔膨出瘤),其中2例为阵发性心房颤动,1例为持续性心房颤动,术后6个月未发现心房颤动。结论 PFO合并房间隔膨出瘤及使用较大型号卵圆孔封堵器会增加PFO经导管封堵术术后心房颤动的发生。Objective Observe the incidence of new onset atrial fibrillation after patent foramen ovale(PFO) closure. Methods 66 consecutive patients(37 with cryptogenic stroke and 29 with migraine) who undertook transcatheter PFO closure between January 2014 and September 2018 in Third Affiliated Hospital of Nanchang University were enrolled in this prospective study. All patients were acceptted Holter before PFO closure,and received Holter and transthoracic echocardiography 1 week, 1 month, 3 months and 6 months after closure. Results Transcatheter PFO closure was successful in all patients. 3 patients who suffer from new onset atrial fibrillation were found after PFO closure,they all have Atrial septal aneurysm. 2 patients are Intermittent atrial fibrillation and another one is Persistent atrial fibrillation, all were converted to sinus rhythm after treatment.Conclusion The combination of PFO with atrial septal aneurysm and the use of larger oval foramen occluder can increase the incidence of new onset atrial fibrillation after PFO closure.

关 键 词：卵圆孔未闭 经导管封堵术 心房颤动 房间隔膨出瘤 

分 类 号：R541.75[医药卫生—心血管疾病] R654.2[医药卫生—内科学]