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环肺静脉线性消融术对P波时限及麦氏指数的影响 被引量：3

Changes in P-wave duration and Macruz index after circumferential pulmonary vein isolation
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摘要 目的探讨环肺静脉线性消融术对P波时限和麦氏指数的影响。方法选择50例行环肺静脉线性消融的阵发性心房颤动患者,描记消融术前及术后7天窦性心律下同步12导联心电图,分析比较各导联P波时限及麦氏指数。术后定期根据症状及动态心电图随访判断手术成功与否,并比较成功者与复发者手术前后的P波时限及麦氏指数。结果Ⅱ、Ⅲ、aVR、V3、V4、V5导联P波时限术后缩短(P<0.05);Ⅱ、aVR、V3、V4、V6导联麦氏指数术后减小(P<0.05);手术后成功者与复发者P波时限和麦氏指数无差异。结论环肺静脉线性消融术后,体表心电图一些导联中P波时限及麦氏指数减小;术后P波时限及麦氏指数对手术是否成功无预测价值。 Objective To study the influence of circumferential pulmonary vein isolation （CPVI） on P-wave duration （PWD） and Macruz index. Method Fifty patients with paroxysmal atrial fibrillation （AF） underwent CPVI. For each patient, an ECG recording was taken before and 7 days after ablation. PWD and Macruz index were measured. Successful outcome after CPVI was defined as free of symptomatic and asymptomatic AF at the end of two consecutive follow-ups. Results PWD was shortened in leads of Ⅱ , Ⅲ, aVR, V3, V4, V5 after ablation （ P 〈 0.05 ）. Macruz index was decreased in leads of Ⅱ , aVR, V3, V4, V6 after ablation （P 〈0.05）. Both PWD and Maeruz index had no difference between success group（n = 39） and failure group （ n = 11 ）. Conclusion CPVI results in PWD and Macruz index shortening in several leads. PWD and Macruz index have no value in predicting success or failure of CPVI.
作者 赵亮 张家友 桂燕萍 李培蕾 顾兴建 廖德宁
机构地区 第二军医大学附属长征医院心内科
出处 《中国心脏起搏与心电生理杂志》 北大核心 2011年第5期406-408,共3页 Chinese Journal of Cardiac Pacing and Electrophysiology
基金 上海市卫生局青年科研基金项目(项目编号:2009Y061)
关键词 心血管病学 P波时限 麦氏指数 心房颤动 环肺静脉消融 Cardiology P-wave duration Macruz index Atrial fibrillation Circumferential pulmonary vein isolation
分类号 R540.41 [医药卫生—心血管疾病] R541.75 [医药卫生—心血管疾病]
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参考文献6

  • 1Udyavar AR,Huang SH,Chang SL,et al.Acute effect of circumferential pulmonary vein isolation on left atrial substrate[J].J Cardiovasc Electrophysiol,2009,20:715.
  • 2Cheema A,Ahmed M,Kadish A,et al.Effects of autonomic stimulation and blockade on signal-averaged P wave duration[J].J Am Coll Cardiol,1995,26:497.
  • 3梁翠,董建增,马长生.心房颤动导管消融术对P波形态的影响[J].中国心脏起搏与心电生理杂志,2010,24(4):352-355. 被引量：2
  • 4Human GP,Snyman HW.The value of the macruz index in the diagnosis of atrial enlargement[J].Circulation,1963,27:935.
  • 5Nakagawa H,Aoyama H,Beckman K J,et al.Relation between pulmonary vein firing and extent of left atrial-pulmonary vein connection in patients with atrial fibrillation[J].Circulation,2004,109:1 523.
  • 6Lemery R,Birnie D,Tang ASL,et al.Normal atrial activation and voltage during sinus rhythm in the human heart:an endocardial and epicardial mapping study in patients with a history of atrial fibrillation[J].J Cardiovasc Electrophysiol,2007,18:402.

二级参考文献6

  • 1Haissaguerre M,Jais P,Shah DC,et al.Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins[J].N Engl J Med,1998,339:659.
  • 2Date T,Yamane T,Inada K,et al.The effects of pulmonary vein isolation on the morphology of p waves:the contribution of pulmonary vein muscle excitation to the formation of p waves[J].Pacing Clin Electrophysiol,2007,30:93.
  • 3Ogawa M,Kumagai K,Vakuhnko M,et al.Reduction of P-wave duration and successful pulmonary vein isolation in patients with atrial fibrillation[J].J Cardiovasc Electrophysiol,2007,18:931.
  • 4Udyavar AR,Huang SH,Chang SL,et al.Acute effect of circumferential pulmonary vein isolation on left atrial substrate[J].J Cardiovasc Electrophysiol,2009,20:715.
  • 5Arantes L,Matsuo S,Lim KT,et al.Left atrial appendage activity mimicking an epsilon wave on the surface electrocardiogram[J].J Cardiovasc Electrophysiol,2007,18:1 114.
  • 6Chugh A,Latchamsetty R,Oral H,et al.Characteristics of cavotricuspid isthmus-dependent atrial flutter after left atrial ablation of atrial fibrillation[J].Circulation,2006,113:609.

共引文献1

同被引文献25

  • 1John E. Wave dispersion: P/ valuable electrocardiographic marker for the prediction of paroxysmal lone atrial fibrillation[J]. ANE J, 1999,4:39.
  • 2Dilaveris P, Gialafos E, Sideris S, et al. Simple elect roeardiographic markers for the prediction of idiopathic paroxysmal atrial fibrilla- tion[J]. PACE, 1997,20 : 1098.
  • 3Ogawa M, Kumagai K, Vakulenko M, et al. Reduction of P- wave duration and successful pulmonary vein isolation in patients with atrial fibrillation[J]. J Cardiovasc Electrophysioh 2007,18 : 931.
  • 4Date T, Yamane T, Inada K, et al. The effects of pulmonary vein isolation on the morphology of P waves:The contribution of pulmonary vein muscle excitation to the formation of P waves[J]. Pacing Clin Eleetrophysiol, 2007,30 : 93.
  • 5Nakagawa H, Aoyama H, Beckman KJ, et al. Relation between pulmonary vein firing and extend of left atrial - pulmonary vein connection in pationts with atrial fibrillation[J]. Circulation, 2004, 109:3.523.
  • 6Mainigi SK, Sauer WH, Cooper JM, et al. Incidence and predictors of very late recurrence of atrial fibrillation after ablation[J]. J Car- diovasc Electrophysiol, 2007,18:69 - 74.
  • 7Okumura Y,Watanabe I,Ohkubo K,et al. Prediction of the effica- cy of pulmonary vein isolation for the treatment of atrial fibrina tion by the signal averaged P - wave duration[J]. PACE, 2007,30 : 304 - 313.
  • 8JANUARY CT, WANN LS, ALPERT JS, et al. 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation : a report of the American Coltege of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society[J]. J Am Coll Cardiol, 2014, 64(21) :el-e76.
  • 9TZOU WS, MARCHLINSKI FE, ZADO ES, et al. Long-term outcome after successful catheter ablation of atrial fibrillation [J]. Circ Arrhythm Electrophysiol, 2010, 3(3) :237-242.
  • 10TEH A W, KALMAN J M, MEDI C, et al. Long-term outcome following successful catheter ablation of atrial tachyeardia originating from the pulmonary veins: absence of late atrial fibrillation [J]. J Cardiovase Electrophysiol, 2010, 21 (7) : 747-750.

引证文献3

二级引证文献10

中国心脏起搏与心电生理杂志
2011年 第5期

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