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目的了解心房颤动(房颤)患者的病因分布特点与临床类型。方法对2009年1月至2013年12月因房颤住院诊治的420例患者的临床资料进行回顾性分析。结果房颤主要病因:高血压病(36.9%)、冠心病(27.6%)、风湿性心脏瓣膜病(10.7%)。分型及治疗结果:阵发性房颤80例(19.1%),其中23例自动转复为窦性心律,32例经药物转复为窦性心律,转复成功率68.8%。持续性房颤108例(25.7%),其中36例转复为窦性心律,转复成功率33.3%。持久性房颤232例(55.2%),其中30例接受建议转上级医院拟行射频消融等治疗。房颤并发缺血性脑卒中的发生率为26.7%,且有明显随年龄增加趋势(P<0.05)。结论高血压、冠心病、风湿性心脏瓣膜病是房颤的主要病因,关注房颤的病因及临床分型,对治疗具有指导意义。
Objective To understand the etiology and clinical characteristics of patients with atrial fibrillation (AF). Methods The clinical data of 420 patients hospitalized for treatment of atrial fibrillation from January 2009 to December 2013 were analyzed retrospectively. Results The main causes of AF were hypertension (36.9%), coronary heart disease (27.6%) and rheumatic valvular disease (10.7%). Type and treatment results: 80 cases of paroxysmal atrial fibrillation (19.1%), of which 23 cases automatically converted to sinus rhythm, 32 cases of drug conversion to sinus rhythm, the success rate of 68.8%. 108 cases of persistent atrial fibrillation (25.7%), of which 36 cases converted to sinus rhythm, the success rate of 33.3%. Permanent atrial fibrillation in 232 cases (55.2%), of which 30 cases were recommended to go to higher-level hospital for radiofrequency ablation and other treatment. The incidence of atrial fibrillation complicated by ischemic stroke was 26.7%, and obviously increased with age (P <0.05). Conclusion Hypertension, coronary heart disease and rheumatic valvular heart disease are the main causes of atrial fibrillation. Focusing on the etiology and clinical classification of atrial fibrillation, it is instructive for treatment.