高度房间传导阻滞的阵发性心房颤动患者复发率增加  

The recurrence rate of paroxysmal atrial fibrillation patients with advanced interatrial block

作　　者：张丽 张俊蒙 ZHANG Li;ZHANG Junmeng(Department of Cardiology,the First Affiliated Hospital of Nanyang Medical College,Nanyang,473058,China;Department of Cardiology,Beijing Anzhen Hospital)

机构地区：[1]南阳医专第一附属医院心内2科,河南南阳473058 [2]北京安贞医院心内3区

出　　处：《临床心血管病杂志》2020年第7期622-626,共5页Journal of Clinical Cardiology

摘　　要：目的:探讨高度房间传导阻滞与阵发性心房颤动(房颤)复发的关系。方法:回顾性分析122例阵发性房颤患者,按是否合并房间传导阻滞分3组:1组28例,无房间传导阻滞(no interatrial block,non-IAB);2组56例,不全性房间传导阻滞(partial interatrial block,pIAB);3组38例,高度房间传导阻滞(advanced interatrial block,aIAB),统计房颤复发的终点事件数,采用SPSS 22.0软件,进行单因素方差分析、R×C表χ^2检验和Logistic回归分析。结果:3组患者比较,阵发性房颤复发率之间的差异有显著性意义(P<0.01);与non-IAB组比较,pIAB组房颤复发率增加,但差异无明显统计学意义(14%:32%,P=0.08),aIAB组房颤复发率增加明显,差异有明显统计学意义(14%:71%,P<0.01);与pIAB组比较,aIAB组房颤复发率也明显增加,差异也有明显统计学意义(32%:71%,P<0.01);对房颤复发的因素进行单因素和多因素Logistic回归分析,aIAB是阵发性房颤复发的危险因素(HR:6.94,95%CI:2.86~16.83,P<0.01;HR:5.43,95%CI:1.71~17.26,P<0.01)。结论:高度房间传导阻滞的阵发性房颤患者复发率明显增加。Objective:To explore the relationship between advanced interatrial block and recurrence of paroxysmal atrial fibrillation.Method:In this retrospective analysis,122 patients with paroxysmal atrial fibrillation were divided into three groups,according to interatrial block.The 28 cases were in 1 groups with no interatrial block(non-IAB);56 cases in 2 groups with partial interatrial block(pIAB);38 cases in 3 groups with advanced interatrial block(aIAB).The end point events of atrial fibrillation recurrence were calculated.Result:There was significant difference in the recurrence rate of atrial fibrillation in three groups(P<0.01);Compared with non-IAB,the recurrence rate of atrial fibrillation increased in patients with pIAB,without significant statistically(14%vs 32%,P=0.08).The recurrence rate of atrial fibrillation increased significantly in patients with aIAB with significant statistically(14%vs 71%,P<0.01);Compared with pIAB group,The recurrence rate of atrial fibrillation also increased significantly in patients with aIAB,with significant statistically(32%vs 71%,P<0.01).Univariate and multivariate Logistic regression analysis was performed on the recurrence factors of atrial fibrillation,and aIAB was a risk factor for recurrence of paroxysmal atrial fibrillation(HR:6.94,95%CI:2.86~16.83,P<0.01;HR:5.43,95%CI:1.71~17.26,P<0.01).Conclusion:The recurrence rate of paroxysmal atrial fibrillation patients with advanced interatrial block increased significantly.

关 键 词：高度房间传导阻滞 阵发性心房颤动 复发率 

分 类 号：R541.7[医药卫生—心血管疾病]