發(fā)布時間：2018-04-21 05:01

  本文選題：心房顫動 + 糖尿病��； 參考：《臨床心血管病雜志》2017年04期

【摘要】：目的:探討2型糖尿病合并持續(xù)性心房顫動(房顫)患者導(dǎo)管消融術(shù)后復(fù)發(fā)的相關(guān)危險因素。方法:共入選93例2型糖尿病合并持續(xù)性房顫且首次行安貞醫(yī)院"2C3L"消融術(shù)式的患者。消融前檢測HbA1c水平。Cox比例風(fēng)險模型評估房顫復(fù)發(fā)相關(guān)危險因素。結(jié)果:中位隨訪9個月,93例患者中42例(45.2%)房顫復(fù)發(fā)。Cox多因素回歸分析表明左房大小是房顫復(fù)發(fā)的獨立危險因素。ROC曲線分析表明左房大小切點值≥44.5mm預(yù)測房顫復(fù)發(fā)的敏感性為59.5%,特異性為68.6%(AUC=0.665)。結(jié)論:左房大小與2型糖尿病合并持續(xù)性房顫患者首次導(dǎo)管消融術(shù)后復(fù)發(fā)相關(guān)。
[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，

本文編號：1781013