文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

在射血分数保留的阵发性非瓣膜性心房颤动和心力衰竭患者中,营养不良风险作为导管消融术后心律失常复发的预测指标。

The risk of malnutrition as a predictor of arrhythmia recurrence after catheter ablation in patients with paroxysmal non-valvular atrial Fibrillation and heart failure with preserved ejection fraction.

作者信息

Zhang Zixi, Wang Cancan, Liu Qiming, Xiao Yichao, Zhou Jiabao, Wu Keke, Huang Yunying, Zhang Zeying, Liu Shiping, Lin Qiuzhen

机构信息

Department of Cardiology, The Second Xiangya Hospital, Central South University, Changsha City, Hunan Province, People's Republic of China.

Department of Endocrinology, The Second Xiangya Hospital, Central South University, Changsha City, Hunan Province, People's Republic of China.

出版信息

PLoS One. 2025 Jan 31;20(1):e0317721. doi: 10.1371/journal.pone.0317721. eCollection 2025.


DOI:10.1371/journal.pone.0317721
PMID:39888955
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11785320/
Abstract

BACKGROUND: Malnutrition presents a significant challenge in managing patients with atrial fibrillation (AF) and heart failure with preserved ejection fraction (HFpEF), yet its impact on AF recurrence after catheter ablation in this population remains unclear. METHODS: We conducted a retrospective analysis of 204 patients with paroxysmal non-valvular AF and HFpEF who underwent radiofrequency or cryoballoon ablation. Risk of malnutrition as assessed using three screening tools: the Controlling Nutritional Status (CONUT) score, Prognostic Nutritional Index (PNI), and Nutritional Risk Index (NRI)]. We examined the relationship between risk of malnutrition and AF recurrence post-ablation. RESULTS: After a mean follow-up period of 11.2 ±  1.8 months, 43 patients (21.1%) experienced AF recurrence. Despite being classified as overweight or obese based on body mass index, many patients were at risk of malnutrition according to the CONUT score, NRI, and PNI. Adjusted analyses showed that higher CONUT scores (HR: 10.132; 95% CI: 2.545-40.336; P =  0.001), lower NRI (HR: 22.734; 95% CI: 6.399-80.776; P <  0.001), or lower PNI (HR: 9.469; 95% CI: 3.232-27.739; P <  0.001) were significantly associated with increased risk of AF recurrence. Restricted cubic spline regression revealed an inverted U-shaped relationship between the CONUT score and AF recurrence, and L-shaped relationships for both NRI and PNI with AF recurrence. CONCLUSIONS: Systematic nutritional assessment is crucial in patients with paroxysmal non-valvular AF and HFpEF. High CONUT scores, low NRI, or low PNI serve as independent predictors for AF recurrence. Further large-scale randomized controlled trials are required to validate these findings.

摘要

背景:营养不良在心房颤动(AF)和射血分数保留的心力衰竭(HFpEF)患者的管理中是一项重大挑战,但其对此类人群导管消融术后房颤复发的影响仍不清楚。 方法:我们对204例接受射频或冷冻球囊消融的阵发性非瓣膜性房颤和HFpEF患者进行了回顾性分析。使用三种筛查工具评估营养不良风险:控制营养状况(CONUT)评分、预后营养指数(PNI)和营养风险指数(NRI)。我们研究了营养不良风险与消融术后房颤复发之间的关系。 结果:平均随访11.2±1.8个月后,43例患者(21.1%)出现房颤复发。尽管根据体重指数被归类为超重或肥胖,但根据CONUT评分、NRI和PNI,许多患者仍有营养不良风险。校正分析显示,较高的CONUT评分(HR:10.132;95%CI:2.545 - 40.336;P = 0.001)、较低的NRI(HR:22.734;95%CI:6.399 - 80.776;P < 0.001)或较低的PNI(HR:9.469;95%CI:3.232 - 27.739;P < 0.001)与房颤复发风险增加显著相关。受限立方样条回归显示CONUT评分与房颤复发之间呈倒U形关系,NRI和PNI与房颤复发均呈L形关系。 结论:系统的营养评估对阵发性非瓣膜性房颤和HFpEF患者至关重要。高CONUT评分、低NRI或低PNI是房颤复发的独立预测因素。需要进一步的大规模随机对照试验来验证这些发现

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88cf/11785320/355aaab082ef/pone.0317721.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88cf/11785320/cc330cf7c66d/pone.0317721.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88cf/11785320/49207a107082/pone.0317721.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88cf/11785320/36d9e5880842/pone.0317721.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88cf/11785320/e7b77fffa574/pone.0317721.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88cf/11785320/355aaab082ef/pone.0317721.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88cf/11785320/cc330cf7c66d/pone.0317721.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88cf/11785320/49207a107082/pone.0317721.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88cf/11785320/36d9e5880842/pone.0317721.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88cf/11785320/e7b77fffa574/pone.0317721.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88cf/11785320/355aaab082ef/pone.0317721.g005.jpg

相似文献

[1]
The risk of malnutrition as a predictor of arrhythmia recurrence after catheter ablation in patients with paroxysmal non-valvular atrial Fibrillation and heart failure with preserved ejection fraction.

PLoS One. 2025-1-31

[2]
Comparison of Catheter Ablation in Patients with Paroxysmal Non-valvular Atrial Fibrillation and Heart Failure with Preserved Ejection Fraction.

Int J Med Sci. 2025-1-1

[3]
The impact of malnutrition on atrial fibrillation recurrence post ablation.

Nutr Metab Cardiovasc Dis. 2021-3-10

[4]
Malnutrition in acute heart failure with preserved ejection fraction: clinical correlates and prognostic implications.

ESC Heart Fail. 2019-8-10

[5]
Impact of Preoperative Nutritional Status on the Outcome of Catheter Ablation for Atrial Fibrillation.

Circ J. 2022-1-25

[6]
Effects of Atrial Fibrillation Ablation for Heart Failure With Preserved Ejection Fraction: Insights From CABANA.

JACC Heart Fail. 2025-5

[7]
Catheter ablation of atrial fibrillation in patients with heart failure and preserved ejection fraction.

Heart Rhythm. 2017-12-6

[8]
Safety and efficacy of catheter ablation in atrial fibrillation patients with heart failure with preserved ejection fraction.

BMC Cardiovasc Disord. 2025-1-23

[9]
Geriatric nutritional risk index as a predictor of arrhythmia recurrence after catheter ablation of atrial fibrillation.

Nutr Metab Cardiovasc Dis. 2021-6-7

[10]
Catheter Ablation of Atrial Fibrillation in Patients With Heart Failure and Preserved Ejection Fraction.

Circ Heart Fail. 2022-9

本文引用的文献

[1]
Finerenone in Heart Failure with Mildly Reduced or Preserved Ejection Fraction.

N Engl J Med. 2024-10-24

[2]
The predictive value of GLIM criteria on clinical outcomes and responses to nutritional support in patients with neurocritical illnesses.

Sci Rep. 2024-7-1

[3]
Device therapy for patients with atrial fibrillation and heart failure with preserved ejection fraction.

Heart Fail Rev. 2024-3

[4]
Malnutrition in heart failure with preserved ejection fraction.

J Am Geriatr Soc. 2023-11

[5]
Semaglutide in Patients with Heart Failure with Preserved Ejection Fraction and Obesity.

N Engl J Med. 2023-9-21

[6]
2023 Focused Update of the 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure.

Eur Heart J. 2023-10-1

[7]
Malnutrition and poststroke depression in patients with ischemic stroke.

J Affect Disord. 2023-8-1

[8]
Atrial Fibrillation Ablation for Heart Failure With Preserved Ejection Fraction: A Randomized Controlled Trial.

JACC Heart Fail. 2023-6

[9]
Prevalence and prognostic importance of malnutrition, as assessed by four different scoring systems, in elder patients with heart failure.

Nutr Metab Cardiovasc Dis. 2023-5

[10]
Cryoballoon ablation for atrial fibrillation in patients with heart failure with mildly reduced and preserved ejection fraction.

ESC Heart Fail. 2023-2

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索