小型食管裂孔疝作为心房颤动的一个危险因素。
Small hiatal hernia as a risk factor of atrial fibrillation.
作者信息
Głowacki Jan, Florek Szymon, Suchodolski Alexander, Wasilewski Jarosław
机构信息
Department of Radiology and Radiodiagnostics, Silesian Medical University, Zabrze, Poland.
Silesian Centre for Heart Diseases, Zabrze, Poland.
出版信息
Pol J Radiol. 2021 Jan 8;86:e1-e3. doi: 10.5114/pjr.2021.102602. eCollection 2021.
PURPOSE
Hiatal hernia (HH) is considered a risk factor of atrial fibrillation (AF). The aim of this study was to evaluate HH in computed tomography (CT) images in patients awaiting ablation due to atrial fibrillation, and to look for a correlation between HH in patients without AF and with AF.
MATERIAL AND METHODS
This study included 441 patients divided in two groups: 207 patients subjected to computed tomography before ablation procedure due to atrial fibrillation and 234 patients as the control group, who underwent CT scans to rule out coronary disease (no AF in history).
RESULTS
Small HH, e.g. under or equal to 2 cm, are associated with a higher risk of AF compared to the control group, which was not observed for bigger HH.
CONCLUSIONS
The presence of small HH may be a risk factor of AF.
目的
食管裂孔疝（HH）被认为是心房颤动（AF）的一个危险因素。本研究的目的是评估因心房颤动等待消融治疗的患者在计算机断层扫描（CT）图像中的食管裂孔疝情况，并寻找无房颤患者和有房颤患者食管裂孔疝之间的相关性。
材料与方法
本研究纳入441例患者，分为两组：207例因心房颤动在消融术前接受计算机断层扫描的患者，以及234例作为对照组的患者，他们接受CT扫描以排除冠心病（既往无房颤）。
结果
与对照组相比，小型食管裂孔疝（例如小于或等于2厘米）与心房颤动风险较高相关，而大型食管裂孔疝则未观察到这种情况。
结论
小型食管裂孔疝的存在可能是心房颤动的一个危险因素。
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