Rezaian Gholam R, Poor-Moghaddas Masoud, Kojuri Javad, Rezaian Shahed, Liaghat Lida, Zare Najaf
Department of Medicine (Cardiology), Shiraz University of Medical Sciences, Shiraz, Iran.
Ann Noninvasive Electrocardiol. 2009 Jul;14(3):258-61. doi: 10.1111/j.1542-474X.2009.00307.x.
Although atrial fibrillation (AF) is commonly encountered in patients with constrictive pericarditis (CP), little has been done to clarify its associated predisposing factors. Our aim was to evaluate the association of age, gender, disease duration, and pericardial calcification with AF in these patients.
The medical records of 44 patients with CP were reviewed. There were 13 (29.5%) with AF and 31 (70.5%) with sinus rhythm. The two groups were compared for demographic variables, disease duration, and the presence of pericardial calcification.
The male-to-female ratio was 3.4:1. Calcification was seen in 11 (25%) of the entire group. AF was much more common in those with calcification than those with sinus rhythm (odds ratio, 7.87 [95% CI, 1.73-35.78], P=0.008). There was no association between the presence of AF and the age (P=0.156) or gender (P approximately 1.00). Logistic regression, however, showed that the chance of developing AF increased by 27% by each year of increase in disease duration (P=0.025).
It seems that in patients with CP, the presence of pericardial calcification and the increasing disease duration are associated with a higher chance of developing AF.
虽然缩窄性心包炎（CP）患者中常出现心房颤动（AF），但在明确其相关易感因素方面所做的工作很少。我们的目的是评估这些患者的年龄、性别、病程和心包钙化与房颤的相关性。
回顾了44例CP患者的病历。其中13例（29.5%）患有房颤，31例（70.5%）为窦性心律。比较两组的人口统计学变量、病程和心包钙化情况。
男女比例为3.4:1。整个组中有11例（25%）出现钙化。钙化患者中房颤比窦性心律患者更常见（优势比，7.87 [95% CI，1.73 - 35.78]，P = 0.008）。房颤的存在与年龄（P = 0.156）或性别（P约为1.00）之间无关联。然而，逻辑回归显示，病程每增加一年，发生房颤的几率增加27%（P = 0.025）。
在CP患者中，心包钙化的存在和病程的延长似乎与发生房颤的较高几率相关。
