两种导管消融术式治疗短病程持续性心房颤动疗效对比分析.pdf

中文摘要 2本研究平均随访时间为18．1月。长期随访数据显示，两种策略在 首次消融术后房颤复发率无差异，但CPVI+左房项部+三尖瓣峡部消融策 略术后房速／房扑发生率较少，推测能够改善患者术后生活质量。 3本研究认为，对于病程小于2年的短病程持续性房颤患者，采用 CPVI+左房顶部+三尖瓣峡部消融策略具有更高的安全性和有效性，临床 综合治疗效果更好，适合推广应用。 关键词：电生理学；心房颤动；导管消融；射频电流；线性消融 英文摘要 A ofClinicalEffectbetweenTwo of Comparison Strategies forCatheter on Therapy AblationPatientswithShortCourse PersistentAtrialFibrillation ABSTRACT ective：Asakindof obj treatmentforatrialfibrillation,theeffectiveness of catheterablationhasbeenverified radiofrequency constantly，and widely in recentten indicationhasextendedfromthe appliedclinically years．The AFtothe AF．For thecourseofthe AF,as paroxysmalpersistentpersistent disease substrateamore roleinthe extends，theplays important maintaining ofAFindurationtoatrial restructure．At electrical／organizationalpresent， most centersusedtotakecircumferentialvein electrophysiology pulmonary linear alliancewithrooflinear、mitralisthmusand isolation(CPVI)in linearablation．MitralisthmusablationCan isthmus tricuspid especially theSuccess atthesametimeincreasetheleftatrialmacro increase rate，but re．entrantatrial SOastoreduce effect．Thisisto tachycardia