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P波离散度对房颤消融术后复发的预测价值
引用本文:程慧,李国庆,郭自同,王凤霞,杜蓉.P波离散度对房颤消融术后复发的预测价值[J].生物磁学,2014(12):2306-2308.
作者姓名:程慧  李国庆  郭自同  王凤霞  杜蓉
作者单位:新疆维吾尔自治区人民医院心内科,新疆乌鲁木齐830001
基金项目:新疆维吾尔自治区自然基金课题:房颤的流行病学及发病机制的研究(20082155)
摘    要:目的:探讨P波离散度对心房颤动(房颤)导管消融术后复发的预测价值。方法:连续收集经导管消融的房颤患者120例,根据是否复发分为复发组与对照组,分别测定和比较两组术后心电图最大P波时限(Pmax)及最小P波时限(Pmin)并计算P波离散度(Pd)。结果:房颤消融术后,53例病人复发,复发组最大P波时限(132±23mm VS 102±25mm)及P波离散度(33±9mm VS 29±10mm)均显著高于非复发组,差异有统计学意义(P〈0.05)。结论:P波离散度可用于辅助预测房颤导管消融术后是否复发。

关 键 词:P波离散度  心房颤动  导管消融

Predictive Value of P-wave Dispersion Degree on the Postoperative Pecurrence of Atrial Fibrillation
CHENG Hui,LI Guo-qing,GUO Zi-tong,WANG Feng-xia,DU Rong.Predictive Value of P-wave Dispersion Degree on the Postoperative Pecurrence of Atrial Fibrillation[J].Biomagnetism,2014(12):2306-2308.
Authors:CHENG Hui  LI Guo-qing  GUO Zi-tong  WANG Feng-xia  DU Rong
Institution:(Cardiology department of Xinjiang Uygur automonous region people's hospital Urumqi, Xinjiang, 830001, China)
Abstract:Objective:To investigate the relationship between successful pulmonary vein isolation and P-wave duration and search indexes for prediction atrial fibrillation recurrence.Methods:120 patients were treated with circumferential pulmonary vein isolation.After procedure,P-wave duration and P dispersion was studied on 12-lead surface electrocardiogram for each patient.Results:Atrial fibrillation recurrence was documented in 53 patients.The maximum P-wave duration(132±23 mm VS102±25 mm) and P dispersion(33±9 mm VS 29±10 mm) were significantly higher in the recurrence group than in without recurrence group.Conclusion:P-wave dispersion was a reliable index to predict the recurrence after pulmonary vein isolation.
Keywords:P-wave dispersion  Atrial fibrillation  Catheter ablation
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