摘要
BackgroundAtrial 纤维性颤动(AF ) 导管脱离为 AF 作为有希望的治疗策略出现了，但是广泛地没在老人口被采用。试图在老 population.Methods 和 ResultsThe 学习人口决定 AF 导管脱离的安全和功效的现在的学习与发作性的 AF 由 316 个病人组成了经历了左 atrial 脱离。95 个病人是 ≥；65 年(48 男性，意味着年龄 68.9 ±；3.0 岁) 并且 221 个病人是 <；65 岁(130 男性，意味着年龄 52.5 ±；10.4 岁) 。在 34.0 ± 的一个吝啬的后续时期以后；15.1 个月， 55 (57.9%) 在老组的病人与 149 相比从心律不齐复发是自由的(67.4%) 在更年轻的组的病人(P = 0.169 ) 。程序的复杂并发症在两个学习组是不平常的。在逻辑回归分析，离开了 atrial 直径( P = 0.003 )，高血压( P = 0.001 )， dyslipidemia ( P = 0.039 )，并且冠的动脉疾病( P = 0.018 )在 AF 的老 population.ConclusionsCatheter 脱离的 AF 复发的独立预言者在更老的病人安全、有效。侵略策略应该与 AF 在征兆的老病人被看作一种其他的选择。
Background Atrial fibrillation （AF） catheter ablation has emerged as a promising treatment strategy for AF, but has not been widely adopted in the elderly population. The present study aimed to determine the safety and efficacy of AF catheter ablation in the elderly popula-tion. Methods and Results The study population consisted of 316 patients with paroxysmal AF who underwent left atrial ablation. Ninety-five patients were≥65 years （48 males, mean age 68.9 ± 3.0 years old） and 221 patients were〈65 years old （130 males, mean age 52.5 ± 10.4 years old）. After a mean follow-up period of 34.0 ± 15.1 months, 55 （57.9%） patients in the elderly group were free from ar-rhythmia recurrence compared with 149 （67.4%） patients in the younger group （P=0.169）. Procedural complications were uncommon in both study groups. In logistic regression analysis, left atrial diameter （P=0.003）, hypertension （P=0.001）, dyslipidemia （P=0.039）, and coronary artery disease （P=0.018） were independent predictors of AF recurrence in the elderly population. Conclusions Catheter ablation of AF is safe and effective in older patients. Invasive strategies should be considered as an alternative choice in symptomatic elderly patients with AF.
