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心房颤动消融术后空白期的早期复发

Early Recurrences During the Blanking Period after Atrial Fibrillation Ablation.

作者信息

Liang Jackson J, Dixit Sanjay

机构信息

Division of Cardiology, Electrophysiology Section, Hospital of the University of Pennsylvania, Philadelphia, PA.

出版信息

J Atr Fibrillation. 2018 Feb 28;10(5):1726. doi: 10.4022/jafib.1726. eCollection 2018 Feb.

DOI:10.4022/jafib.1726
PMID:29988237
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6006974/
Abstract

Early recurrences of atrial arrhythmias (ERAA) after ablation are common and predict late recurrences and ablation failure.However,becausea proportion of patients with ERAA will have no subsequent arrhythmias after the blanking period, consensus guidelines recommend against immediate repeat ablation for ERAA episodes occurring during the first 3 months post-ablation. In this review, we summarize the predictors, significance, and treatment of ERAA after AF ablation.

摘要

房颤消融术后房性心律失常早期复发（ERAA）很常见，且可预测晚期复发和消融失败。然而，由于一部分ERAA患者在空白期后不会再发生心律失常，因此共识指南不建议对消融术后前3个月内发生的ERAA发作立即进行重复消融。在本综述中，我们总结了房颤消融术后ERAA的预测因素、意义及治疗方法。

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本文引用的文献

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Defining Blanking Period Post-Pulmonary Vein Antrum Isolation.定义肺静脉窦隔离术后的空白期。
JACC Clin Electrophysiol. 2017 Jun;3(6):568-576. doi: 10.1016/j.jacep.2017.01.006. Epub 2017 Mar 29.
2
Use of Oral Steroid and its Effects on Atrial Fibrillation Recurrence and Inflammatory Cytokines Post Ablation - The Steroid AF Study.口服类固醇的使用及其对房颤消融术后复发和炎性细胞因子的影响——类固醇房颤研究
J Atr Fibrillation. 2017 Feb 28;9(5):1604. doi: 10.4022/jafib.1604. eCollection 2017 Feb-Mar.
3
Higher burden of supraventricular ectopic complexes early after catheter ablation for atrial fibrillation is associated with increased risk of recurrent atrial fibrillation.心房颤动导管消融术后早期室上性异位搏动负荷增加与心房颤动复发风险增加相关。
Europace. 2018 Jan 1;20(1):50-57. doi: 10.1093/europace/euw329.
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Pulmonary Vein Antral Isolation and Nonpulmonary Vein Trigger Ablation Are Sufficient to Achieve Favorable Long-Term Outcomes Including Transformation to Paroxysmal Arrhythmias in Patients With Persistent and Long-Standing Persistent Atrial Fibrillation.肺静脉前庭隔离和非肺静脉触发灶消融足以实现良好的长期预后，包括将持续性和长期持续性心房颤动患者转变为阵发性心律失常。
Circ Arrhythm Electrophysiol. 2016 Nov;9(11). doi: 10.1161/CIRCEP.116.004239.
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Redefining the Blanking Period After Catheter Ablation for Paroxysmal Atrial Fibrillation: Insights From the ADVICE (Adenosine Following Pulmonary Vein Isolation to Target Dormant Conduction Elimination) Trial.重新定义阵发性心房颤动导管消融后的空白期：来自 ADVICE（腺苷后肺静脉隔离以靶向休眠传导消除）试验的见解。
Circ Arrhythm Electrophysiol. 2016 Aug;9(8). doi: 10.1161/CIRCEP.115.003909.
6
Effect and Significance of Early Reablation for the Treatment of Early Recurrence of Atrial Fibrillation After Catheter Ablation.早期再次消融治疗导管消融术后心房颤动早期复发的效果及意义
Am J Cardiol. 2016 Sep 15;118(6):833-841. doi: 10.1016/j.amjcard.2016.06.045. Epub 2016 Jun 29.
7
Plasma homocysteine levels predict early recurrence after catheter ablation of persistent atrial fibrillation.血浆同型半胱氨酸水平可预测持续性心房颤动导管消融术后的早期复发。
Europace. 2017 Jan;19(1):66-71. doi: 10.1093/europace/euw081. Epub 2016 May 18.
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Circ J. 2016;80(2):346-53. doi: 10.1253/circj.CJ-15-1051. Epub 2015 Dec 4.
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Effect of Short-Term Steroid Therapy on Early Recurrence During the Blanking Period After Catheter Ablation of Atrial Fibrillation.短期类固醇疗法对房颤导管消融术后空白期早期复发的影响。
Circ Arrhythm Electrophysiol. 2015 Dec;8(6):1366-72. doi: 10.1161/CIRCEP.115.002957. Epub 2015 Nov 5.