中国经导管消融治疗心房颤动注册研究-2007 |
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引用本文: | 黄从新,江洪,鲁端,徐亚伟,黄德嘉,王方正,陈新,张澍,马长生,刘旭,杨延宗,曹克将,马坚,吴书林,刘少稳.中国经导管消融治疗心房颤动注册研究-2007[J].中华心律失常学杂志,2007,13(1):173-177. |
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作者姓名: | 黄从新 江洪 鲁端 徐亚伟 黄德嘉 王方正 陈新 张澍 马长生 刘旭 杨延宗 曹克将 马坚 吴书林 刘少稳 |
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作者单位: | 武汉大学人民医院心内科,430060;浙江大学医学院附属邵逸夫医院心内科;上海市第十人民医院心内科;四川大学华西医院心内科;中国医学科学院心血管病研究所,北京协和医学院,阜外心血管病医院,心律失常诊治中心;北京安贞医院房颤中心;上海市胸科医院心内科;大连医科大学第一附属医院心内科;南京医科大学第一附属医院心内科;广东省人民医院心血管病研究所;上海市第一人民医院心内科; |
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基金项目: | 卫生公益性行业科研专项经费项目湖北省"十一五"重大科技攻关项目湖北省自然科学基金创新群体项目 |
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摘 要: | Objective To report the outcome of registered cathered catheter ablation of atrial fibrillation (AF) in China 2007. Methods Data on AF ablation from registered hospitals in 2007 was analyzed retrospec-tively. Results A total of 2620 cases from 40 hospitals wererecruied,male 1719,female 901 ,mean age 58.5± 11.2years. Proportions of patients with paroxysmal, long-standing permanent AF were 77.4% ,15.7% and 6.9%, respectively. Patients accompanied with underlying disease were 54.1%. Left atrial diameter was (38.3 ± 6.3) mm,left ventricular end-diastolic dimension was(47.8 ±5.2)ram,and left ventricular ejection fraction waa 0.63 ±0.08. The most common prcedures were circumferential pulmonary veins (PV) ablation and circumferential PV ablation plus additional hnes. The most often used ablation energy was radiofrequency (99.8%). Total success rate was 80.3% ,and recurrence rate was 19.7%. Factors impacting success and rencurrence rates included left atrial diameter,type of AF,and procedures. After catheter ablation,antiarrhythmic drug application increased mod-erately,and the anticoagulation therapy stengthened. Complications occurred in 26 patients (1.7%), no severe coplications such as esophagus atrail fistula and pulmonary vein stenosis were observed. Conclusions The catheter ablation could be recommended as a first-line therapy for patients with symptomatic paroxsmal AF in qualified hospitals.
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关 键 词: | 心房颤动 心律失常 导管消融 注册 |
A report from registered catheter ablation of atrial fibrillation in China-2007 |
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Keywords: | Atrial fibrillationArrhythmia Catheter ablationRegistry |
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