睡眠呼吸暂停低通气综合征对心房颤动经导管射频消融术预后的影响分析  

Effect of Sleep Apnea Hypopnea Syndrome on the Prognosis of Atrial Fibrillation after Radiofrequency Catheter Ablation

作　　者：翟文轩 张天静[1] 贾玉和[1] 张林峰[2] 朱嘉宝[3] 张瑶 程怀兵[1] 樊晓寒[1] ZHAI Wenxuan;ZHANG Tianjing;JIA Yuhe;ZHANG Linfeng;ZHU Jiabao;ZHANG Yao;CHENG Huaibing;FAN Xiaohan(Function Test Center,National Center for Cardiovascular Diseases and Fuwai Hospital,CAMS and PUMC,Beijing(100037),China)

机构地区：[1]中国医学科学院北京协和医学院国家心血管病中心阜外医院功能检测中心,北京市100037 [2]中国医学科学院北京协和医学院国家心血管病中心阜外医院社区防治部,北京市100037 [3]河北医科大学第二医院全科医疗心电图室

出　　处：《中国循环杂志》2022年第11期1144-1149,共6页Chinese Circulation Journal

摘　　要：目的:探讨睡眠呼吸暂停低通气综合征(SAHS)是否影响心房颤动(房颤)经导管射频消融术的预后。方法:选取2019年1月至2020年12月在中国医学科学院阜外医院接受多导睡眠监测并接受经导管射频消融术的房颤患者498例,SAHS组252例,非SAHS组246例。记录两组患者的基本临床资料、房颤类型及睡眠呼吸异常类型,随访术后房颤复发情况。结果:24个月的中位随访期内,术后总房颤复发率为33.0%。SAHS组和非SAHS组患者术后房颤复发率分别为30.1%和37.4%,差异无统计学意义(P>0.05)。SAHS组和非SAHS组中,阵发性房颤和持续性房颤患者术后房颤复发率差异均无统计学意义(P均>0.05);SAHS组中低通气型患者、阻塞性睡眠呼吸暂停患者与非SAHS组患者的房颤复发率差异均无统计学意义(P均>0.05);SAHS组和非SAHS组中,房颤复发患者和房颤未复发患者的左心房前后径、体重指数(BMI)差异均无统计学意义(P均>0.05)。结论:SAHS不影响经导管射频消融术后房颤复发率。Objectives:To investigate the impact of sleep apnea hypopnea syndrome(SAHS)on the prognosis of atrial fibrillation(AF)patients after radiofrequency catheter ablation.Methods:A total of 498 AF patients who underwent polysomnography and radiofrequency catheter ablation in Fuwai Hospital,Chinese Academy of Medical Sciences from January 2019 to December 2020 were selected and divided into the SAHS group(n=252)and the non-SAHS group(n=246).The basic information of the 498 patients were recorded.The type of AF and the type of sleep apnea were used as stratification factors for comparison,and the recurrence of postoperative AF was recorded.Results:The total recurrence rate of AF was 33.0%during the median follow-up of 24 months.The recurrence rate of AF in SAHS group and non-SAHS group was similar(30.1%vs.37.4%,P>0.05).There was no significant difference in the recurrence rate between the SAHS group and the non-SAHS group with paroxysmal or persistent AF(all P>0.05).There was no significant difference in the recurrence rate of AF between the SAHS group with moderate/low ventilation syndrome or obstructive sleep apnea and the non-SAHS group(all P>0.05).In SAHS group and non-SAHS group,there was no significant difference in left atrial anterior-posterior diameter and body mass index between recurrent and non-recurrent patients(all P>0.05).Conclusions:Preoperative SAHS does not affect the recurrence rate of AF after radiofrequency ablation.

关 键 词：睡眠呼吸暂停低通气综合征 阻塞性睡眠呼吸暂停 低通气 心房颤动 左心房前后径 经导管射频消融 心房颤动复发 

分 类 号：R54[医药卫生—心血管疾病]