摘要
目的：探讨新发心房颤动（ Ａｆ）自发转复为窦性心律的可能性及其自发转复的预测因素。方法：回顾性分析９６例新发 Ａｆ患者的临床资料。结果：６９例（７１．８８％ ） Ａｆ患者于７２ ｈ 内转为窦性心律，其中４８例转复时间＜ ２４ ｈ。另２７例患者未能转复。多元回归分析表明， Ａｆ 时间＜ ２４ ｈ 是新发 Ａｆ自发转复的唯一预测指标，性别、病因、年龄、左房直径均非 Ａｆ转复的预测指标。结论：大多数新发 Ａｆ能自发转复为窦性心律，尤以 Ａｆ 时间＜ ２４ ｈ 者。临床上可根据患者情况选择适当的治疗方法，减少并发症的发生。
Objective:Investigation of the likelihood and the predictors of spontaneous conversion of fibrillation to sinus rhythm.Method:Retrospective analysis clinical feature of 96 patients with recent onset atrial fibrillation.Result:Spontaneous conversion to sinus rhythm occured in 71.88 % within 72 h.Among patients with spontaneous conversion,48 patients converted within 24 h logistic regression analysis of clinical data identified presentation <24 h from onset of symptoms as the only predictor of spontaneous conversion.There was no relation between age,underlying systemic disorder gender,left atrial size to spontaneous conversion.Conclusion:Spontaneous converison to sinus rhythm occures in 71.88 % of patients of recent onset atrial fibrillation.Presentation with symptoms<24 h duration is the best predictor of spontaneous conversion.
出处
《临床心血管病杂志》
CAS
CSCD
北大核心
1999年第8期355-357,共3页
Journal of Clinical Cardiology
关键词
心房颤动
自发转复
窦性心律
AF
Atrial fibrillation Spontaneous conversion Sinus rhythm
