择期行节律控制的房颤患者心房血栓：危险因素和预后价值。
Atrial thrombi in elective patients considered for atrial fibrillation rhythm control: Risk factors and prognostic value.
机构信息
Federal University of Rio de Janeiro, Edson Saad Heart Institute, Rua Rodolpho Paulo Rocco 255, Ilha Do Fundão, Rio de Janeiro, RJ, 21941-913, Brazil; Samaritano Hospital, Cardiology Department, Rua Bambina 98, Botafogo, Rio de Janeiro, RJ, 22251-050, Brazil.
Federal University of Rio de Janeiro, Edson Saad Heart Institute, Rua Rodolpho Paulo Rocco 255, Ilha Do Fundão, Rio de Janeiro, RJ, 21941-913, Brazil; Samaritano Hospital, Cardiology Department, Rua Bambina 98, Botafogo, Rio de Janeiro, RJ, 22251-050, Brazil.
出版信息
Indian Heart J. 2021 Mar-Apr;73(2):228-230. doi: 10.1016/j.ihj.2021.01.020. Epub 2021 Jan 29.
The prognostic value of atrial thrombi (AT) among elective patients with atrial fibrillation (AF) referred for a rhythm control strategy is unclear. In this study, clinical variables were correlated with the presence of AT and long term survival among 205 patients submitted to transesophageal echocardiography before elective AF cardioversion or ablation. Atrial thrombi were present in 7.8% of cases and were significantly associated with reduced survival. Obesity was the only independent clinical predictor of AT [OR 4.27 (1.15-15.79), p = 0.03]. In patients with AF, AT appear to be associated with adverse outcomes, possibly indicating more advanced atrial cardiomyopathy.
在因节律控制策略而接受转复或消融治疗的择期房颤患者中，心房血栓（AT）的预后价值尚不清楚。本研究通过经食管超声心动图检查，在 205 例择期房颤转复或消融患者中，对临床变量与 AT 的存在及其长期生存进行相关性分析。结果发现，7.8%的患者存在心房血栓，且与生存率降低显著相关。肥胖是唯一与 AT 独立相关的临床预测因素[OR 4.27（1.15-15.79），p=0.03]。在房颤患者中，AT 似乎与不良结局相关，可能表明心房心肌病更为严重。
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