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慢性非瓣膜性心房颤动患者中,血栓栓塞事件发生频率及超声心动图结果的比较:心电图上粗颤波与细颤波的对比

Comparison of frequency of thromboembolic events and echocardiographic findings in patients with chronic nonvalvular atrial fibrillation and coarse versus fine electrocardiographic fibrillatory waves.

作者信息

Yamamoto Satoshi, Suwa Michihiro, Ito Takahide, Murakami Shougo, Umeda Tatsuya, Tokaji Yasunobu, Sakai Yasuhiko, Kitaura Yasushi

机构信息

Third Division, Department of Internal Medicine, Osaka Medical College, Takatsuki, Osaka, Japan.

出版信息

Am J Cardiol. 2005 Aug 1;96(3):408-11. doi: 10.1016/j.amjcard.2005.03.087.

DOI:10.1016/j.amjcard.2005.03.087
PMID:16054469
Abstract

In patients with nonvalvular atrial fibrillation, the electrocardiographic fibrillatory wave reflects the structural and electrical remodeling of the atria. This study examined whether the fibrillatory wave amplitude could predict the risk of thromboembolism and demonstrated that this amplitude was related to the duration of atrial fibrillation. We also showed that the presence of fine fibrillatory waves (<1 mm in amplitude) could predict the thromboembolic potential in patients with chronic nonvalvular atrial fibrillation.

摘要

在非瓣膜性心房颤动患者中,心电图颤动波反映了心房的结构和电重构。本研究探讨了颤动波振幅是否能够预测血栓栓塞风险,并证明该振幅与心房颤动持续时间有关。我们还表明,细颤动波(振幅<1 mm)的存在可预测慢性非瓣膜性心房颤动患者的血栓栓塞可能性。

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