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Gal-3与非瓣膜性心房颤动患者射频消融术后复发的相关性及影响因素分析

Correlation and Influencing Factor Analysis Between Gal-3 and Recurrent Patients With Nonvalvular Atrial Fibrillation After Radiofrequency Ablation.

作者信息

Lu Jing, Yang Fan, Gao Yu, Li Ruijuan, Li Runqin, Zhang Nan, Ren Yan, Ma Dengfeng

机构信息

Department of Cardiology of Taiyuan Central Hospital, Taiyuan, Shanxi Province, China.

Department of Pharmacy, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, China.

出版信息

Cardiovasc Ther. 2025 Aug 13;2025:5561883. doi: 10.1155/cdr/5561883. eCollection 2025.

Abstract

This prospective cohort study was aimed at evaluating the association of galectin-3 (Gal-3) and other prognostic factors with atrial fibrillation (AF) recurrence in patients with nonvalvular AF undergoing radiofrequency catheter ablation (RFCA). Overall, 92 patients were included, with the AF group comprising 70 patients and the control group comprising 20 (supraventricular tachycardic) patients. Preablation parameters were recorded, including baseline Gal-3 levels. Patients were followed up for 6 months post-RFCA. AF recurrence was defined as AF episodes lasting > 30 s after the blanking period. Univariate and multivariate logistic regression analyses revealed patients with AF were older and significantly hypertensive ( < 0.05) when compared to control. Gal-3 levels were significantly higher in the paAF (13.81 ± 2.56) and peAF (15.92 ± 3.67) groups than in the control group (12.04 ± 3.28). Recurrence occurred in 28 patients (40%) with AF. Baseline Gal-3 levels were higher in the recurrence group than in the nonrecurrence group. Univariate analysis revealed left atrial diameter (LAD), left atrial volume (LAV), high-sensitivity C-reactive protein (hs-CRP), Gal-3, and LV short-axis shortening rate as significant predictors of AF recurrence. However, multivariate analyses showed only LAV (OR = 1.043 [1.011-1.077]; = 0.009), hs-CRP (OR = 1.176 [1.025-1.349], = 0.021), and Gal-3 (OR = 2.019 [1.332-3.06], = 0.001) as independent predictors of recurrence. Elevated Gal-3 and hs-CRP levels along with increased LAV are predictive of AF recurrence, irrespective of AF type. This finding holds a significant potential for guiding therapeutic strategies in clinical practice.

摘要

这项前瞻性队列研究旨在评估半乳糖凝集素-3(Gal-3)及其他预后因素与接受射频导管消融(RFCA)的非瓣膜性心房颤动(AF)患者AF复发之间的关联。总体而言,共纳入92例患者,其中AF组70例,对照组20例(室上性心动过速患者)。记录消融前参数,包括基线Gal-3水平。患者在RFCA后随访6个月。AF复发定义为空白期后持续>30秒的AF发作。单因素和多因素逻辑回归分析显示,与对照组相比,AF患者年龄更大且高血压显著(<0.05)。阵发性AF(paAF,13.81±2.56)和持续性AF(peAF,15.92±3.67)组的Gal-3水平显著高于对照组(12.04±3.28)。28例(40%)AF患者出现复发。复发组的基线Gal-3水平高于未复发组。单因素分析显示左心房直径(LAD)、左心房容积(LAV)、高敏C反应蛋白(hs-CRP)、Gal-3和左心室短轴缩短率是AF复发的显著预测因素。然而,多因素分析显示只有LAV(比值比[OR]=1.043[1.011-1.077];P=0.009)、hs-CRP(OR=1.176[1.025-1.349],P=0.021)和Gal-3(OR=2.019[1.332-3.06],P=0.001)是复发的独立预测因素。Gal-3和hs-CRP水平升高以及LAV增加可预测AF复发,与AF类型无关。这一发现对指导临床实践中的治疗策略具有重要潜力。

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