The Correlation between Preoperative Average Heart Rate and Postoperative Recurrence in Patients with Paroxysmal Atrial Fibrillation Undergoing Transcatheter Radiofrequency Ablation.

IF 1.9 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Reviews in cardiovascular medicine Pub Date : 2024-11-06 eCollection Date: 2024-11-01 DOI:10.31083/j.rcm2511394
Xiu Feng, Ling Yang, Zhenni Yang, Yuxia Miao, Mingxia Gong, Jun Meng, Min Xu
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引用次数: 0

Abstract

Background: Atrial fibrillation (AF) is the most common persistent arrhythmia, with increasing incidence worldwide. Transcatheter radiofrequency ablation (RFA) represents a first-line therapy for paroxysmal atrial fibrillation (PAF), although the long-term recurrence rate of AF remains relatively high. This study aimed to investigate the relationship between the average heart rate (AHR) on a dynamic electrocardiogram before transcatheter RFA and the postoperative recurrence of AF in patients with PAF.

Methods: A retrospective analysis was conducted on patients with PAF who experienced primary transcatheter RFA. Relevant clinical indicators, dynamic electrocardiograms, and echocardiography were collected from the enrolled patients before ablation. Multivariate logistic regression analysis examined the relationship between the preoperative AHR and postoperative recurrence of AF in patients with PAF.

Results: This study included 224 patients with PAF who were scheduled for transcatheter RFA. Based on the AHR in sinus rhythm state on the dynamic electrocardiogram before ablation, the patients were divided into three groups: low, medium, and high heart rate. The recurrence rates of AF after ablation for the three groups were 14.667%, 8.108%, and 4.000%, respectively. After adjusting for confounding factors, postoperative AF recurrence risk gradually decreased with an increase in preoperative AHR (odds ratio: 0.849, 95% confidence interval: 0.729-0.988, p = 0.035). This trend remained statistically significant even after adjusting for the three categorical variables of AHR (odds ratio = 0.025, 95% confidence interval: 0.001-0.742, p = 0.033). The curve fitting analysis indicated a linear and negative correlation between the preoperative AHR and postoperative AF recurrence risk in patients with PAF.

Conclusions: In patients with PAF who experienced their primary transcatheter RFA, there was a linear and negative correlation between the AHR in sinus rhythm state on the preoperative dynamic electrocardiogram and the risk of postoperative AF recurrence.

阵发性心房颤动经导管射频消融患者术前平均心率与术后复发的关系。
背景:房颤(AF)是最常见的持续性心律失常,在世界范围内发病率不断上升。经导管射频消融(RFA)是阵发性心房颤动(PAF)的一线治疗方法,尽管AF的长期复发率仍然相对较高。本研究旨在探讨经导管射频消融前动态心电图平均心率(AHR)与PAF患者房颤术后复发的关系。方法:回顾性分析经导管RFA治疗的PAF患者。收集患者消融前的相关临床指标、动态心电图及超声心动图。多因素logistic回归分析分析了PAF患者术前AHR与术后房颤复发的关系。结果:本研究纳入了224例经导管RFA的PAF患者。根据消融前动态心电图窦性心律状态AHR,将患者分为低、中、高三组。三组消融后房颤复发率分别为14.667%、8.108%、4.000%。校正混杂因素后,随着术前AHR的增加,术后AF复发风险逐渐降低(优势比:0.849,95%可信区间:0.729-0.988,p = 0.035)。即使在调整AHR三个分类变量后,这一趋势仍然具有统计学意义(优势比= 0.025,95%置信区间:0.001-0.742,p = 0.033)。曲线拟合分析显示,PAF患者术前AHR与术后AF复发风险呈线性负相关。结论:原发性经导管射频消融的PAF患者,术前动态心电图窦性心律状态AHR与术后AF复发风险呈线性负相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Reviews in cardiovascular medicine
Reviews in cardiovascular medicine 医学-心血管系统
CiteScore
2.70
自引率
3.70%
发文量
377
审稿时长
1 months
期刊介绍: RCM is an international, peer-reviewed, open access journal. RCM publishes research articles, review papers and short communications on cardiovascular medicine as well as research on cardiovascular disease. We aim to provide a forum for publishing papers which explore the pathogenesis and promote the progression of cardiac and vascular diseases. We also seek to establish an interdisciplinary platform, focusing on translational issues, to facilitate the advancement of research, clinical treatment and diagnostic procedures. Heart surgery, cardiovascular imaging, risk factors and various clinical cardiac & vascular research will be considered.
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