Tambeur L, Meyns B, Flameng W, Daenen W
Department of Cardiac Surgery, Gasthuisberg University Hospital, K.U. Leuven, Belgium.
Cardiovasc Surg. 1996 Dec;4(6):820-4. doi: 10.1016/s0967-2109(96)00054-3.
This study was undertaken to determine the incidence of postoperative arrhythmias in mitral valve surgery through the left atrium as compared with the extended trans-septal approach. All patients undergoing mitral valve surgery for acquired valve disease between 1 January 1991 and 31 December 1993 were reviewed. Only patients with preoperative normal sinus rhythm were included in this study. End-points for analysis were: 'any supraventricular arrhythmia'; 'atrial fibrillation of flutter'; and 'ectopic atrial or junctional rhythm'. All predictive factors with a P-value < 0.10 in univariate analysis were entered into the multivariate proportional hazard model of Cox. Some 72 patients were included for analysis. No variables were independently predictive of 'any supraventricular arrhythmia'. Age is an independent predictor of 'atrial fibrillation or flutter' and surgical approach of 'ectopic atrial or junctional rhythm'.
本研究旨在确定经左心房二尖瓣手术与扩大经房间隔入路相比术后心律失常的发生率。回顾了1991年1月1日至1993年12月31日期间所有因获得性瓣膜病接受二尖瓣手术的患者。本研究仅纳入术前窦性心律正常的患者。分析的终点为：“任何室上性心律失常”；“心房颤动或扑动”；以及“异位房性或交界性心律”。单因素分析中P值<0.10的所有预测因素均纳入Cox多变量比例风险模型。约72例患者纳入分析。没有变量可独立预测“任何室上性心律失常”。年龄是“心房颤动或扑动”以及“异位房性或交界性心律”手术入路的独立预测因素。
