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心率变异性与电复律后房颤的早期复发

Heart rate variability and early recurrence of atrial fibrillation after electrical cardioversion.

作者信息

Lombardi F, Colombo A, Basilico B, Ravaglia R, Garbin M, Vergani D, Battezzati P M, Fiorentini C

机构信息

Cardiologia, Dipartimento di Medicina, Chirurgia e Odontoiatria, Ospedale S. Paolo, Università degli Studi di Milano, Milan, Italy.

出版信息

J Am Coll Cardiol. 2001 Jan;37(1):157-62. doi: 10.1016/s0735-1097(00)01039-1.

Abstract

OBJECTIVES

The study evaluated the role of the autonomic nervous system in atrial fibrillation (AF) recurrence.

BACKGROUND

Early recurrence of AF after cardioversion (CV) is attributed to electrical remodeling. The possibility that an abnormal autonomic modulation might contribute to this phenomenon has not yet been adequately tested.

METHODS

We analyzed short-term heart rate variability (HRV) in 93 patients with persistent AF and on chronic amiodarone treatment, after restoration of sinus rhythm by electrical CV.

RESULTS

Two weeks later, 25 patients presented with AF. Spectral analysis of HRV revealed that patients wi

摘要

目的

本研究评估自主神经系统在心房颤动(AF)复发中的作用。

背景

心脏复律(CV)后AF的早期复发归因于电重构。自主神经调节异常可能导致这种现象的可能性尚未得到充分验证。

方法

我们分析了93例持续性AF且正在接受慢性胺碘酮治疗的患者在通过电CV恢复窦性心律后的短期心率变异性(HRV)。

结果

两周后,25例患者出现AF。HRV的频谱分析显示,患有……的患者

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