老年心房颤动患者行消融术后再次复发的影响因素

Influencing factors of recurrence after ablation in elderly patients with atrial fibrillation

目的 探讨老年心房颤动患者行消融术后再次复发的影响因素。方法 选取2020年1月至2023年1月于江苏省人民医院心血管内科行消融术的200例老年心房颤动患者为研究对象,按是否再次复发分为复发组(45例)和未复发组(155例)。采用logistic回归模型分析老年心房颤动患者行消融术后再次复发的影响因素。结果 两组肥胖、合并高血压、合并糖尿病、合并冠心病、合并睡眠呼吸暂停综合征、规律使用抗心律失常药物和左房内径比较,差异有统计学意义(P<0.05)。logistic回归分析结果显示,肥胖(OR=6.592,95%CI:2.773~15.671)、合并高血压(OR=67.982,95%CI:15.051~307.054)、合并糖尿病(OR=17.010,95%CI:3.892~74.339)、合并睡眠呼吸暂停综合征(OR=7.901,95%CI:2.102~29.703)和不规律使用抗心律失常药物(OR=29.988,95%CI:6.273~143.353)是老年心房颤动患者行消融术后再次复发的独立影响因素(P<0.05)。结论 肥胖、合并高血压、合并糖尿病、合并睡眠呼吸暂停综合征和规律使用抗心律失常药物是老年心房颤动患者行消融术后再次复发的影响因素。

Objective To explore influencing factors of recurrence after ablation in elderly patients with atrial fibrillation.Methods A total of 200 elderly patients with atrial fibrillation underwent ablation in Department of Cardiovascular Medicine of Jiangsu Provincial People’s Hospital from January 2020 to January 2023 were selected as study objects and divided into recurrence group(45 cases)and non-recurrence group(155 cases)according to whether they recurrence again.Influencing factors of recurrence after ablation in elderly patients with atrial fibrillation were analyzed by multivariate logistic regression model.Results There were statistically significant differences in obesity,hypertension,diabetes,coronary heart disease,sleep apnea syndrome,regular use of antiarrhythmic drugs,and left atrial diameter between two groups(P<0.05).Logistic regression analysis results showed that,obesity(OR=6.592,95%CI:2.773-15.671),hypertension(OR=67.982,95%CI:15.051-307.054),diabetes(OR=17.010,95%CI:3.892-74.339),sleep apnea syndrome(OR=7.901,95%CI:2.102-29.703),and irregular use of antiarrhythmic drugs(OR=29.988,95%CI:6.273-143.353)were independent influencing factors for recurrence after ablation in elderly patients with atrial fibrillation(P<0.05).Conclusion Obesity,hypertension,diabetes,sleep apnea syndrome,and regular use of antiarrhythmic drugs were influencing factors for recurrence after ablation in elderly patients with atrial fibrillation.