非心脏手术患者术后新发心房颤动预测因素分析(2)
术后新发心房颤动是非心脏手术一种相对常见的并发症,本研究显示其发生会延长患者的住院天数,增加患者的负担。然而,对该并发症的确切发生机制、病理生理却仍然不太清楚。其治疗策略应该基于引起心律失常的病因,一般选择节律控制,但是否需要进行长期的抗凝治疗仍需将来进一步研究。
参考文献
[1] Maisel W H,Rawn J D,Stevenson W G.Atrial fibrillation after cardiac surgery[J].Ann Intern Med,2001,135(12):1061-1073.
[2] Chelazzi C,Villa G,De Gaudio A R.Postoperative atrial fibrillation[J].ISRN Cardiol,2011(4):117-123.
[3] Maesen B,Nijs J,Maessen J,et al.Post-operative atrial fibrillation:a maze of mechanisms[J].Europace,2012,14(2):159-174.
[4] Burris J M,Subramanian A,Sansgiry S,et al.Perioperative atrial arrhythmias in noncardiothoracic patients:a review of risk factors and treatment strategies in the veteran population[J].Am J Surg,2010,200(5):601-605.
[5] Knotzer H,Mayr A,Ulmer H,et al.Tachyarrhythmias in a surgical intensive care unit:a case controlled epidemiologic study[J].Intensive Care Med,2000,26(7):908-914.
[6] Vaziri S M,Larson M G,Benjamin E J,et al.Echocardiographic predictors of nonrheumatic atrial fibrillation[J].The Framingham Heart Study Circulation,1994,89(2):724-730.
[7] Goldman L.Supraventricular tachyarrhythmias in hospitalized adults after surgery.Clinical correlates in patients over 40 years of age after major noncardiac surgery[J].Chest,1978,73(4):450-454.
[8] Christians K K,Wu B,Quebbeman E J,et al.Postoperative atrial fibrillation in noncardiothoracic surgical patients[J].Am J Surg,2001,182(6):713-715.
[9]張建勇,陈珏通,曾凡.心房颤动患者C反应蛋白水平的变化及临床意义[J].临床和实验医学杂志,2013,12(14):1116-1117.
[10] Kan J S,Williamson D R,Yaghchi B M,et al.Epidemiology and management of atrial fibrillation in medical and noncardiac surgical adult intensive care unit patients[J].J Crit Care,2012,27(3):1-8.
[11] Bhave P D,Goldman L E,Vittinghoff E,et al.Incidence,predictors,and outcomes associated with postoperative atrial fibrillation after major noncardiac surgery[J].Am Heart J,2012,164(6):918-924.
[12] Ilya M D,Jennifer M L,Sampaguita S W,et al.Practical Management of Postoperative Atrial Fibrillation after Noncardiac Surgery[J].J Am Coll Surg,2014,219(4):831-841.
(收稿日期:2017-10-19), 百拇医药(林国立 许开祖 吴梅芳 蔡金明)
参考文献
[1] Maisel W H,Rawn J D,Stevenson W G.Atrial fibrillation after cardiac surgery[J].Ann Intern Med,2001,135(12):1061-1073.
[2] Chelazzi C,Villa G,De Gaudio A R.Postoperative atrial fibrillation[J].ISRN Cardiol,2011(4):117-123.
[3] Maesen B,Nijs J,Maessen J,et al.Post-operative atrial fibrillation:a maze of mechanisms[J].Europace,2012,14(2):159-174.
[4] Burris J M,Subramanian A,Sansgiry S,et al.Perioperative atrial arrhythmias in noncardiothoracic patients:a review of risk factors and treatment strategies in the veteran population[J].Am J Surg,2010,200(5):601-605.
[5] Knotzer H,Mayr A,Ulmer H,et al.Tachyarrhythmias in a surgical intensive care unit:a case controlled epidemiologic study[J].Intensive Care Med,2000,26(7):908-914.
[6] Vaziri S M,Larson M G,Benjamin E J,et al.Echocardiographic predictors of nonrheumatic atrial fibrillation[J].The Framingham Heart Study Circulation,1994,89(2):724-730.
[7] Goldman L.Supraventricular tachyarrhythmias in hospitalized adults after surgery.Clinical correlates in patients over 40 years of age after major noncardiac surgery[J].Chest,1978,73(4):450-454.
[8] Christians K K,Wu B,Quebbeman E J,et al.Postoperative atrial fibrillation in noncardiothoracic surgical patients[J].Am J Surg,2001,182(6):713-715.
[9]張建勇,陈珏通,曾凡.心房颤动患者C反应蛋白水平的变化及临床意义[J].临床和实验医学杂志,2013,12(14):1116-1117.
[10] Kan J S,Williamson D R,Yaghchi B M,et al.Epidemiology and management of atrial fibrillation in medical and noncardiac surgical adult intensive care unit patients[J].J Crit Care,2012,27(3):1-8.
[11] Bhave P D,Goldman L E,Vittinghoff E,et al.Incidence,predictors,and outcomes associated with postoperative atrial fibrillation after major noncardiac surgery[J].Am Heart J,2012,164(6):918-924.
[12] Ilya M D,Jennifer M L,Sampaguita S W,et al.Practical Management of Postoperative Atrial Fibrillation after Noncardiac Surgery[J].J Am Coll Surg,2014,219(4):831-841.
(收稿日期:2017-10-19), 百拇医药(林国立 许开祖 吴梅芳 蔡金明)