2型糖尿病合并持续性心房颤动导管消融术后复发因素研究

发布时间：2018-04-21 05:01

  本文选题：心房颤动 + 糖尿病　； 参考：《临床心血管病杂志》2017年04期

【摘要】：目的:探讨2型糖尿病合并持续性心房颤动(房颤)患者导管消融术后复发的相关危险因素。方法:共入选93例2型糖尿病合并持续性房颤且首次行安贞医院"2C3L"消融术式的患者。消融前检测HbA1c水平。Cox比例风险模型评估房颤复发相关危险因素。结果:中位随访9个月,93例患者中42例(45.2%)房颤复发。Cox多因素回归分析表明左房大小是房颤复发的独立危险因素。ROC曲线分析表明左房大小切点值≥44.5mm预测房颤复发的敏感性为59.5%,特异性为68.6%(AUC=0.665)。结论:左房大小与2型糖尿病合并持续性房颤患者首次导管消融术后复发相关。
[Abstract]:Objective: to investigate the risk factors of recurrence after catheter ablation in patients with type 2 diabetes mellitus complicated with persistent atrial fibrillation (AF). Methods: a total of 93 patients with type 2 diabetes complicated with persistent atrial fibrillation and undergoing 2C3L ablation in Anzhen Hospital were enrolled. Risk factors associated with recurrence of atrial fibrillation were assessed by HbA1c level and Cox proportional risk model before ablation. Results: 42 out of 93 patients were followed up for 9 months. The multivariate regression analysis showed that left atrial size was an independent risk factor for atrial fibrillation recurrence. ROC curve analysis showed that left atrial size 鈮，

本文编号：1781013