Heart：房颤患者接受心脏手术同时行消融治疗安全有效

2014-03-26 cath 医学论坛网

澳大利亚和比利时学者对接受心脏手术治疗的心房颤动患者同时进行外科消融治疗与不进行外科消融的临床转归情况进行了随机对照研究(RCT)的荟萃分析，结果表明，患者在接受心脏手术的同时进行外科消融治疗在恢复其窦性心律的方面是安全且有效的。研究论文3月20日在线发表于《心脏》(Heart)。研究者对6个数据库进行了电子检索，鉴别了所有对比了心房颤动患者接受心脏手术的同时进行外科消融和非消融相关的RCT研

澳大利亚和比利时学者对接受心脏手术治疗的心房颤动患者同时进行外科消融治疗与不进行外科消融的临床转归情况进行了随机对照研究(RCT)的荟萃分析，结果表明，患者在接受心脏手术的同时进行外科消融治疗在恢复其窦性心律的方面是安全且有效的。研究论文3月20日在线发表于《心脏》(Heart)。

研究者对6个数据库进行了电子检索，鉴别了所有对比了心房颤动患者接受心脏手术的同时进行外科消融和非消融相关的RCT研究。根据预先设定的临床终点提取和分析数据。

结果共纳入了16项RCT相关研究。在所有≥12 个月的随访研究中，外科消融组患者的窦性心律普遍明显较高(P<0.00001)。两组患者的死亡率[比值比(OR )1.05;P =0.83]、起搏器置入(OR 0.88;P=0.64)和神经病学事件(OR 0.86;P=0.74)均无显著差异。累积荟萃分析显示，随着时间进展这些趋势仍保持一致。

原始出处：

Phan K1, Xie A, La Meir M, Black D, Yan TD.Surgical ablation for treatment of atrial fibrillation in cardiac surgery: a cumulative meta-analysis of randomised controlled trials.Heart. 2014 Mar 20. doi: 10.1136/heartjnl-2013-305351.

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2014-03-28 zhaojie88

#ART#

32 0
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2014-03-28 xiangyuzhou972

#消融#

36 0
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2014-03-28 爆笑小医

#HEART#

29 0
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2014-03-28 zhishijing

#消融治疗#

29 0
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2014-03-28 hittouch

#房颤患者#

35 0

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