CAAP-AF评分联合心外膜脂肪厚度对Graves'病合并房颤患者导管消融术后早期复发的预测价值  

Predictive value of CAAP-AF score combined with epicardial adipose tissue thickness for early recurrence after catheter ablation in patients with Graves'disease and atrial fibrillation

作　　者：林丽卿 黄淑铉 佘火标 杨舒萍 LIN Liqing;HUANG Shucuan;SHE Huobiao;YANG Shuping(Zhangzhou Affiliated Hospital of Fujian Medical University,Zhangzhou,Fujian 363000,China)

机构地区：[1]福建医科大学附属漳州市医院,漳州363000

出　　处：《福建医药杂志》2024年第5期5-8,共4页Fujian Medical Journal

基　　金：福建省自然科学基金项目(2020J011306);福建医科大学附属漳州市医院博士工作室攀登课题资助项目(PDB202208)。

摘　　要：目的探讨CAAP-AF评分联合心外膜脂肪组织(EAT)厚度对Graves'病合并房颤患者导管消融术后早期复发的预测价值。方法回顾性分析于我院行导管消融的Graves病合并房颤患者41例,计算CAAP-AF评分并测量EAT厚度。按照术后患者有无复发分为早期复发组和无早期复发组。采用受试者工作特征(ROC)曲线分析CAAP-AF评分、EAT厚度及两者联合预测Graves病合并房颤患者导管消融术后早期复发的价值。结果导管消融术后10例患者出现早期复发,31例无早期复发。多因素logistic回归分析结果显示,CAAP-AF评分和EAT厚度是Graves病合并房颤患者导管消融术后早期复发的独立影响因素。CAAP-AF评分、EAT厚度及两者联合预测Graves病合并房颤患者导管消融术后早期复发的ROC曲线下面积分别为0.90、0.87、0.94。结论CAAP-AF评分和EAT厚度是Graves病合并房颤患者导管消融术后早期复发的独立危险因素,两者联合可提高对Graves'病合并房颤患者导管消融术后早期复发的预测价值。Objective To investigate the predictive value of CAAP-AF score combined with epicardial adipose tissue(EAT)thickness for early recurrence after catheter ablation in patients with Graves'disease and atrial fibrillation.Methods A total of 4l patients with Graves disease and atrial fibrillation who underwent catheter ablation in our Hospital were enrolled.The CAAP-AF score of each patient was calculated and the EAT thickness was measured.According to the postoperative follow-up outcomes,the patients were divided into early recurrence group and no early recurrence group.The receiver operating characteristic(ROC)curve was used to analyze the value of CAAP-AF score,EAT thickness and their combination in predicting early recurrence after catheter ablation.Results A total of 10 patients had early recurrence,and 31 patients had no early recurrence,The results of multivariate logistic regression analysis showed that CAAP-AF score and EAT thickness were independent influencing factors for early recurrence after catheter ablation in patients with Graves'disease and atrial fibrillation.The area under the ROC curve of CAAP-AF score,EAT thickness and the combination of CAAP-AF for predicting early recurrence after catheter ablation were 0.90,0.87 and 0.94,respectively.Conclusion CAAP-AF score and EAT thickness are independent risk factors for early recurrence after catheter ablation in patients with Graves'disease and atrial fibrillation,and the combination of the two can improve the predictive value of early recurrence after catheter ablation.

关 键 词：CAAP-AF评分 心外膜脂肪组织 心房颤动 导管消融术 Graves'病 

分 类 号：R541.7[医药卫生—心血管疾病]