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[阵发性心房颤动患者转为窦性心律后左心房收缩功能的恢复率]

[The rate of recovery of left atrial contractile function after the transition to sinus rhythm in patients with paroxysmal atrial fibrillation].

作者信息

Kushakovskiĭ M S, Iakubovich I I, Kuz'min A P

出版信息

Ter Arkh. 1995;67(6):21-4.

PMID:7667772
Abstract

In the examination of 120 patients without valvular heart disease suffering from atrial fibrillation paroxysms mechanical function of the left atrium (LA) was assessed using Doppler echocardiography. The majority of the examinees had dilated LA which is thought to be arrhythmogenic. The recovery of the sinus rhythm is accompanied by electromechanical dissociation the longest duration of which took place in subjects exposed to electrical defibrillation. An inverse relationship was established between the time of the last fibrillation and recovery of LA mechanical function. The duration of the electromechanical dissociation of the atria holds prognostic importance in relation to recurrent fibrillation.

摘要

在对120例无瓣膜性心脏病的阵发性心房颤动患者进行检查时,使用多普勒超声心动图评估了左心房(LA)的机械功能。大多数受检者存在左心房扩大,这被认为是致心律失常的。窦性心律的恢复伴随着电机械分离,其中最长持续时间发生在接受电除颤的患者中。最后一次房颤时间与左心房机械功能恢复之间建立了负相关关系。心房电机械分离的持续时间对于复发性房颤具有预后意义。

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