摘要
目的观察合并阻塞型睡眠呼吸暂停综合征(OSAHS)对心房颤动(简称房颤)导管消融效果的影响。方法入选2009年1月至2011年12月在武汉大学人民医院行射频消融术且术前愿意接受睡眠呼吸监测的阵发性房颤患者101例。所有患者行三维电解剖标测指导下的环肺静脉电隔离术,术后至少随访6个月。结果 101例患者中,诊断OSAHS者41例,其余60例未发现睡眠呼吸障碍。OSAHS组男性的比例较对照组明显增高(35/41 vs37/60,P<0.01)。OSAHS组术中转复为窦性心律的比例和长期随访成功率(41%vs 72%)均显著低于对照组(P<0.05)。左房直径增大和OSAHS能独立预测消融后房颤复发。结论
Objective To investigate the effects of coexistence of obstructive sleep apnea-hypopnea syndrome （OS- AHS） on the success rate of catheter ablation for atrial fibrillation （AF）. Methods A total of 101 paroxysmal AF pa- tients who were admitted for catheter ablation and accepted free sleep monitoring were enrolled. All patients underwent cir- cumferential pulmonary vein ablation with the guidance of 3-D electro-anatomical mapping system and were followed up for at least 6 months. Results Of the 101 patients, 41 were diagnosed of OSAHS. The rate of male was significantly higher in the OSAHS group than the control group without OSAHS （35/41 vs 37/60, P〈O. 01 ）. The rate of conversion to sinus rhythm during the ablation procedure and the long-term success rate （41% vs 72% ） were significantly lower in the OSAHS group than these in the control group （P〈O. 05）. The increase in left atrial diameter and coexistence of OSAHS could inde- pendently predict the recurrence of AF after ablation. Conclusion Coexistence of OSAHS with AF significantly decreases the success rate of catheter ablation for AF.
出处
《中国心脏起搏与心电生理杂志》
2014年第1期37-39,共3页
Chinese Journal of Cardiac Pacing and Electrophysiology
关键词
心血管病学
心房颤动
阻塞型睡眠呼吸暂停综合征
导管消融
射频电流
Cardiology
Atrial fibrillation
Obstructive sleep apnea-hypopnea syndrome
Catheter ablation, radiofrequen-cy current
