| 阵发性房颤经导管射频消融与药物治疗的对比评价 |
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| 引用本文： | 高迎春,;赵平,;贺利平,;蒋鹏,;龙德勇,;喻荣辉.阵发性房颤经导管射频消融与药物治疗的对比评价[J].中国循证心血管医学杂志,2014(5):555-557. |
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| 作者姓名： | 高迎春 ;赵平 ;贺利平 ;蒋鹏 ;龙德勇 ;喻荣辉 |
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| 作者单位： | [1]内蒙古自治区人民医院,呼和浩特010017; [2]首都医科大学附属北京安贞医院,北京100029 |
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| 基金项目： | 内蒙古自治区科技厅项目（20110501） |
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| 摘 要： | 目的比较阵发性房颤经导管射频消融与抗心律失常药物治疗的长期疗效。方法连续入选阵发性房颤患者26例,给予CARTO指导下的射频消融环肺静脉电隔离术,配对入选26例房颤患者,给予药物治疗。临床随访观察房颤、房速的发生情况。结果平均随访28.7个月。消融组患者73.1%消融成功,药物治疗对照组11.5%无房颤发作,差异有统计学意义(P0.001)。结论研究结果提示,阵发性房颤患者射频消融治疗的长期效果明显优于药物治疗。
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| 关 键 词： | 阵发性房颤 射频消融 药物治疗 |
Comparison between radiofrequency catheter ablation and drug therapy in patients with paroxysmal ;atrial fibrillation |
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| Institution: | GAO Ying-chun, ZHAO Ping, HE Li-ping, JIANG Peng, LONG De-yong, YU Rong-hui( Inner Mongolian People ＇s Hospital, Huhhot 010017, China.) |
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| Abstract: | Objective To compare the long-term curative effect between radiofrequency catheter ablation and drug therapy in patients with paroxysmal atrial fibrillation （AF）. Methods The AF patients （n=26） were chosen continuously and treated with radiofrequency catheter ablation of circumferential pulmonary vein isolation under the guidance of CARTO. At the same time other 26 AF patients were chosen and treated with drugs. The incidence of AF and atrial tachycardia （AT） were observed and followed up. Results The average follow-up period was 28.7 m. In ablation group there were 73.1%cases with successful operation and in drug group there were 11.5%cases without AF attack （P〈0.001）. Conclusion The long-term curative effect of radiofrequency catheter ablation is much better than that of drug therapy. |
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| Keywords: | Paroxysmal atrial fibrillation Radiofrequency ablation Drug therapy |
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