非心脏手术后新发心房颤动患者的相关临床分析

doi:10.16138/j.1673-6087.2022.04.012

摘要/Abstract

中图分类号:

R514.7

徐敏, 张京岚. 非心脏手术后新发心房颤动患者的相关临床分析[J]. 内科理论与实践, 2022, 17(04): 334-336.

图/表 2

参考文献 19

[1]	谢旻, 王东信. 非心脏手术后新发心房颤动[J]. 实用医学杂志, 2015, 31(10): 1720-1722.
[2]	January CT, Wann LS, Alpert JS, et al. 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines and the Heart Rhythm Society[J]. Circulation, 2014, 12(2): e199-e222.
[3]	Bessissow A, Khan J, Devereaux PJ, et al. Postoperative atrial fibrillation in non-cardiac and cardiac surgery: an overview[J]. J Thromb Haemost, 2015, 13 Suppl 1: S304-S312.
[4]	Royster RL, Deng H, Whalen SP. Postoperative atrial fibrillation[J]. Anesth Analg, 2017, 125(1): 10-12. doi: 10.1213/ANE.0000000000002070 pmid: 28628573
[5]	谢旻, 王东信, 李双玲. 重症监护病房非心脏手术患者术后新发房颤危险因素[J]. 中华老年多器官疾病杂志, 2018, 17(6): 401-406.
[6]	Kanji S, Williamson DR, Yaghchi BM, 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): 326.
[7]	Simmers D, Potgieter D, Ryan L, et al. The use of pre-operative B-type natriuretic peptide as a predictor of atrial fibrillation after thoracic surgery: systematic review and meta-analysis[J]. J Cardiothorac Vasc Anesth, 2015, 29(2): 389-395. doi: 10.1053/j.jvca.2014.05.015 pmid: 25440619
[8]	Aguilar M, Nattel S. Postoperative atrial fibrillation after noncardiac surgery: maybe not so benign after all[J]. Can J Cardiol, 2019, 35(11): 1423-1425. doi: S0828-282X(19)31160-2 pmid: 31582274
[9]	Siontis KC, Gersh BJ, Weston SA, et al. Association of new-onset atrial fibrillation after noncardiac surgery with subsequent stroke and transient ischemic attack[J]. JAMA, 2020, 324(9): 871-878. doi: 10.1001/jama.2020.12518 URL
[10]	Bjerrum E, Wahlstroem KL, Gögenur I, et al. Postoperative atrial fibrillation following emergency noncardiothoracic surgery[J]. Eur J Anaesthesiol, 2020, 37(8): 671-679. doi: 10.1097/EJA.0000000000001265 pmid: 32618759
[11]	Alazawi W, Pirmadjid N, Lahiri R, et al. Inflammatory and immune responses to surgery and their clinical impact[J]. Ann Surg, 2016, 264(1): 73-80. doi: 10.1097/SLA.0000000000001691 URL
[12]	Gaudino M, Andreotti F, Zamparelli R, et al. The-174G/C interleukin-6 polymorphism influences postoperative interleukin-6 levels and postoperative atrial fibrillation. Is atrial fibrillation an inflammatory complication?[J]. Circulation, 2003, 108 Suppl 1:Ⅱ195-Ⅱ199.
[13]	Amar D, Fleisher M, Pantuck CB, et al. Persistent alterations of the autonomic nervous system after noncardiac surgery[J]. Anesthesiology, 1998, 89(1): 30-42. pmid: 9667291
[14]	Chen PS, Chen LS, Fishbein MC, et al. Role of the autonomic nervous system in atrial fibrillation: pathophysiology and therapy[J]. Circ Res, 2014, 114(9): 1500-1515. doi: 10.1161/CIRCRESAHA.114.303772 URL
[15]	Dobrev D, Aguilar M, Heijman J, et al. Postoperative atrial fibrillation: mechanisms, manifestations and management[J]. Nat Rev Cardiol, 2019, 16(7): 417-436. doi: 10.1038/s41569-019-0166-5 URL
[16]	Gitt AK, Smolka W, Michailov G, et al. Types and outcomes of cardioversion in patients admitted to hospital for atrial fibrillation[J]. Clin Res Cardiol, 2013, 102(10): 713.
[17]	January CT, Wann LS, Calkins H, et al. 2019 AHA/ACC/HRS focused update of the 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation[J]. J Am Coll Cardiol, 2019, 74(1): 104-132. doi: S0735-1097(19)30209-8 pmid: 30703431
[18]	Huynh JT, Healey JS, Um KJ, et al. Association between perioperative atrial fibrillation and long-term risks of stroke and death in noncardiac surgery[J]. CJC Open, 2021, 3(5): 666-674. doi: 10.1016/j.cjco.2020.12.025 URL
[19]	Walsh SR, Tang T, Gaunt ME, et al. New arrhythmias after non-cardiothoracic surgery[J]. BMJ, 2006, 333(7571): 715.

项目	房颤持续<24 h	房颤持续≥24 h	共计
术后有诱因	7	13	20
术后无诱因	30	11	41
共计	37	24	61
χ²	8.207
P	0.004

项目	未复律	复律	共计
术后有诱因	2	18	20
术后无诱因	5	36	41
共计	7	54	61
χ²	0.000
P	1.000

非心脏手术后新发心房颤动患者的相关临床分析

RichHTML

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

图/表 2

参考文献 19

相关文章 15

编辑推荐

Metrics

本文评价

[1]	朱海男　顾斌　谢峰　余庆雄　盛玲玲　李青峰. 带血供复合组织同种异体移植的手术前评估[J]. 组织工程与重建外科杂志, 2022, 18(3): 265-.
[2]	周晓萍　陈萍. 自体肋软骨移植治疗Binder综合征的围手术期护理[J]. 组织工程与重建外科杂志, 2022, 18(2): 157-.
[3]	吴立群. 大道至简——肺静脉隔离新技术[J]. 内科理论与实践, 2022, 17(05): 357-359.
[4]	陆林, 代杨, 王晓群, 吴立群, 张瑞岩, 沈卫峰. 心血管转化研究的若干进展[J]. 内科理论与实践, 2022, 17(05): 369-372.
[5]	尹翔, 郑良荣. 经皮左心耳封堵预防心房颤动卒中的研究进展[J]. 内科理论与实践, 2022, 17(05): 392-395.
[6]	费镇涛, 陈牧, 李毅刚. 心房颤动导管消融后复发机制的研究进展[J]. 内科理论与实践, 2022, 17(05): 396-399.
[7]	张芝, 汤学超, 黄新苗, 秦永文. 脉冲电场消融在心房颤动中的应用[J]. 内科理论与实践, 2022, 17(05): 400-404.
[8]	白英, 刘心遥, 张溪林, 高兆芳, 史旭波, 邓可武. 规范抗凝对心房颤动住院患者预后的影响[J]. 内科理论与实践, 2021, 16(06): 409-412.
[9]	刘彤, 王鑫. 心房颤动预后不良风险的评估策略[J]. 诊断学理论与实践, 2020, 19(06): 555-558.
[10]	罗晓颖, 许燕, 张建盛, 吴立群, 戚文航. N端脑钠肽前体预测首次急性心肌梗死后新发心房颤动的价值研究[J]. 诊断学理论与实践, 2020, 19(03): 303-307.
[11]	王晨琛, 杨文波, 华玮, 陈晔芬, 苏秀秀, 龚俊世, 方跃华. 左心耳解剖形态、功能与非瓣膜性心房颤动患者脑卒中发生风险的相关性研究[J]. 诊断学理论与实践, 2020, 19(02): 151-156.
[12]	毛毅敏, 黄伸伸, 和雪改. 围手术期静脉血栓栓塞症形成风险评估及抗凝药物管理[J]. 诊断学理论与实践, 2019, 18(1): 16-20.
[13]	钟伙花, 屈剑锋, 肖卫民, 陈仰昆, 丘东海, 罗根培,. 急性缺血性卒中合并肌钙蛋白I升高的相关因素和预后研究[J]. 内科理论与实践, 2019, 14(05): 289-293.
[14]	顾红霞, 杨婕, 宋慧, 秦利,. 围手术期高血糖患者胰岛素泵与传统胰岛素治疗方案血糖控制情况比较[J]. 内科理论与实践, 2019, 14(03): 193-195.
[15]	费民忠, 王彩虹, 魏勇, 欧阳平, 沈亚红, 杨顺红, 王宾, 孙建平, 孙伟栋, 何政,. 上海农村心房颤动患者抗栓治疗现况调查[J]. 内科理论与实践, 2018, 13(04): 236-239.