Department of Cardiology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu Province, China.
Medical Department of Qingdao University, Qingdao, Shandong Province, China.
Medicine (Baltimore). 2024 Sep 13;103(37):e39583. doi: 10.1097/MD.0000000000039583.
Recent studies have suggested that there may be a relationship between hiatal hernia (HH) and atrial fibrillation (AF), but the specific mechanism is unclear. The aim of this study was to explore the clinical characteristics associated with HH and AF and to identify the potential relationship between the 2 diseases. The study comprised 180 patients with HH, of which 54 had AF. Every patient had chest computed tomography to quantify the cardiothoracic ratio, HH volume, thoracic cavity volume, and diameters of the pulmonary veins. The clinical data of all patients was acquired through an electronic medical record system. Patients who experienced AF had a noticeably smaller total pulmonary vein vertical diameter (TPVVD) and a higher cardiothoracic ratio compared to those who only had HH. Logistic multivariate regression study demonstrated a significant association between TPVVD, cardiothoracic ratio, and AF in individuals with HH. This study established a correlation between TPVVD, cardiothoracic ratio, and HH in conjunction with AF. Patient with HH who had a thinner TPVVD and a bigger cardiothoracic ratio were found to have a greater likelihood of suffering from AF.
最近的研究表明，食管裂孔疝（HH）和心房颤动（AF）之间可能存在关系，但具体机制尚不清楚。本研究旨在探讨与 HH 和 AF 相关的临床特征，并确定这两种疾病之间的潜在关系。该研究纳入了 180 例 HH 患者，其中 54 例患有 AF。每位患者均行胸部 CT 检查以定量测量心胸比、HH 体积、胸腔体积和肺静脉直径。通过电子病历系统获取所有患者的临床数据。与仅患有 HH 的患者相比，发生 AF 的患者的总肺静脉垂直直径（TPVVD）明显更小，心胸比更高。多变量 logistic 回归研究表明，在 HH 患者中，TPVVD、心胸比与 AF 之间存在显著相关性。本研究确立了 TPVVD、心胸比与 HH 合并 AF 之间的相关性。患有 HH 的患者 TPVVD 较薄且心胸比较大，患 AF 的可能性更大。
