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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 31 - 37 (7page)
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초록· 키워드
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Purpose: The identification of sick sinus syndrome (SSS) in patients with atrial flutter (AFL) is difficult before the termination of AFL. This study investigated the patient characteristics used in predicting a high risk of SSS after AFL ablation. Materials and Methods: Out of 339 consecutive patients who had undergone radiofrequencyablation for AFL from 1991 to 2012, 27 (8%) had SSS (SSS group). We compared the clinical characteristics of patients with and without SSS (n=312, no-SSS group). Results: The SSS group was more likely to have a lower body mass index (SSS: 22.5±3.2; no-SSS: 24.0±3.0 kg/m2; p=0.02), a history of atrial septal defects (ASD; SSS: 19%; no-SSS: 6%; p=0.01), a history of coronary artery bypass graft surgery (CABG; SSS: 11%; no-SSS: 2%; p=0.002), and a longer fluttercycle length (CL; SSS: 262.3±39.2; no-SSS: 243.0±40; p=0.02) than the no-SSS group. In multivariate analysis, a history of ASD [odds ratio (OR) 3.7, 95% confidence interval (CI) 1.2‒11.4, p=0.02] and CABG (7.1, 95% CI 1.5‒32.8, p=0.01) as well as longer flutter CL (1.1, 95% CI 1.0‒1.2, p=0.04) were independentrisk factors for SSS. Conclusion: A history of ASD and CABG as well as longerflutter CL increased the risk of SSS after AFL ablation. While half of the patientswith SSS after AFL ablation experienced transient SSS, heart failure was associated with irreversible SSS.
목차
등록된 정보가 없습니다.
참고문헌 (20)
참고문헌 신청
Anand N / 2006 / Chronotropic incompetence in young patients with late postoperative atrial flutter: a case-control study / Eur Heart J 27 : 2069 ~ 2073
Blomstrom-Lundqvist C / 2003 / ACC/AHA/ESC guidelines for the management of patients with supraventricular arrhythmias--executive summary. A report of the American college of
Braunwald E / 2012 / Braunwald’s heart disease: review and assessment / Saunders
Daoud EG / 2002 / Remodeling of sinus node function after catheter ablation of right atrial flutter / J Cardiovasc Electrophysiol 13 : 20 ~ 24
Dobrzynski H / 2007 / New insights into pacemaker activity: promoting understanding of sick sinus syndrome / Circulation 115 : 1921 ~ 1932
Blomstrom-Lundqvist C / 2003 / ACC/AHA/ESC guidelines for the management of patients with supraventricular arrhythmias--executive summary. A report of the American college of
Braunwald E / 2012 / Braunwald’s heart disease: review and assessment / Saunders
Daoud EG / 2002 / Remodeling of sinus node function after catheter ablation of right atrial flutter / J Cardiovasc Electrophysiol 13 : 20 ~ 24
Dobrzynski H / 2007 / New insights into pacemaker activity: promoting understanding of sick sinus syndrome / Circulation 115 : 1921 ~ 1932
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