心房颤动患者射频消融术后早期房性心律失常心电大数据特征的观察与分析  

Observation and analysis of electrocardiogram big data characteristics of early atrial arrhythmia after radiofrequency catheter ablation in patients with atrial fibrillation

作　　者：卢月[1,2] 张玉娇 罗玮敏[2] 雷蕾 向晋涛[3] 侯应龙[1,2] LU Yue;ZHANG Yu-jiao;LUO Wei-min;LEI Lei;XIANG Jin-tao;HOU Ying-long(1 Department of Cardiology,Shandong Provincial Qianfoshan Hospital,Shandong Uni­versity,Jinan,250014,Shandong,China;Department of Cardiology,The First Affiliated Hospital of Shandong First Medical University&Shandong Provincial Qianfoshan Hospital,Shandong,China;Department of Cardiolo­gy,Renmin Hospital of Wuhan University,Wuhan 430060,Hubei,China)

机构地区：[1]山东大学附属山东省千佛山医院心内科,山东济南250014 [2]山东第一医科大学第一附属医院(山东省千佛山医院)心内科,山东济南250014 [3]武汉大学人民医院心内科,湖北武汉430060

出　　处：《中国心脏起搏与心电生理杂志》2022年第2期116-122,共7页Chinese Journal of Cardiac Pacing and Electrophysiology

摘　　要：目的 利用单导长程心电大数据结合散点图技术观察并分析心房颤动(简称房颤)患者射频消融(RFCA)术后早期房性心律失常特征。方法 收集山东第一医科大学第一附属医院心内科首次行RFCA术的房颤患者52例,分为阵发性房颤(PAF)组与持续性房颤(PeAF)组。采用单导长程心电图仪记录房颤患者RFCA术后早期(3天内)的24 h心电图,观察两组房性心律失常的散点图形态及其特征,比较两组术后早期的不同类型房性心律失常发生率的差异。结果 所有病例术后早期心电大数据均观察到典型的房性心律失常散点图特征。频发房性早搏、房性心动过速、房颤及心房扑动的发生率两组无差异(分别为45.2%vs 57.1%,71.0%vs 90.5%,12.9%vs 23.8%,0 vs 4.8%,P均>0.05);但PeAF组房性并行心律的发生率高于PAF组(71.4%vs 32.3%,P<0.05)。结论 房颤患者RFCA术后早期均有房性心律失常发生并且呈现出各自的散点图特征,PeAF患者房性并行心律的发生率高于PAF患者。Objective The characteristics of early atrial arrhythmia in patients with atrial fibrillation(AF) after radiofrequency catheter ablation(RFCA) were observed and analyzed by using single lead long-range electrocardiogram(ECG)big data combined with scatter plot technology. Methods Fifty-two patients with AF who underwent RFCA for the first time in the Department of Cardiology of the First Affiliated Hospital of Shandong First Medical University were collected and divided into paroxysmal AF(PAF) group and persistent AF(PeAF) group.Single lead long-range electrocardiograph was used to record the early 24 h ECG of patients with AF after RFCA. The morphology and characteristics of scatter diagram of atrial arrhythmia in the two groups were observed, and the incidence of different types of atrial arrhythmia in the early postoperative period was compared between the two groups. Result Typical atrial arrhythmia scatterplot characteristics were observed in early postoperative ECG big data of all cases. There was no difference in the incidence of frequent atrial premature beats, atrial tachycardia, AF and atrial flutter between the two groups(45.2% vs 57.1%,71.0% vs 90.5%,12.9% vs 23.8%,0 vs 4.8%,respectively, all P<0.05);However,the incidence of atrial parasystolic rhythm in PeAF group was higher than that in PAF group(71.4%vs 32.3%,P<0.05). Conclusion Atrial arrhythmia occurred in all patients with AF early after RFCA,and showed their own big data scatter characteristics.The incidence of atrial parasystolic rhythm in patients with PeAF is higher than that patients with PAF.

关 键 词：心血管病学 心房颤动 射频导管消融 单导长程心电图 心电散点图 房性心律 房性并行心律 

分 类 号：R541.75[医药卫生—心血管疾病] R454.1[医药卫生—内科学]