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首页> 外文期刊>Journal of Clinical Medicine Research >Minimally Symptomatic Atrial Fibrillation Patients Derive Significant Symptom Relief Following Rate Control or Rhythm Control Therapy
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Minimally Symptomatic Atrial Fibrillation Patients Derive Significant Symptom Relief Following Rate Control or Rhythm Control Therapy

机译：症状控制或心律控制治疗后症状轻微的心房颤动患者症状明显缓解

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Background: It can be challenging to convince asymptomatic to minimally symptomatic patients to pursue treatment of their atrial fibrillation (AF). We hypothesized that once in sinus rhythm, asymptomatic to minimally symptomatic patients would realize they were compensating for moderate symptoms, and that we could quantify this via the Canadian Cardiovascular Society Severity of AF (CCS-SAF) score.Methods: All patients in our study come from the Symptom Mitigation in Atrial Fibrillation (SMART) study. Upon enrollment all patients were assigned a CCS-SAF score. Patients receiving a CCS-SAF score of 0 or 1 that elected to pursue intervention were contacted by phone and asked about their symptoms post-intervention as compared to pre-intervention. Paired t-test was used for analysis.Results: Out of 800 patients in the SMART study to date, 48 patients have qualified for our phone survey and presented for follow-up in our clinic. In our cohort, the revised pre-intervention CCS-SAF score was 1.69 ± 1.36 and the post-intervention CCS-SAF score was 0.52 ± 0.80. Thirty-seven patients reported symptom improvement; those who improved were on average 72.4% improved from baseline.Conclusions: We conclude asymptomatic to minimally symptomatic AF patients benefit from therapy and should be offered intervention despite lack of symptoms.J Clin Med Res. 2015;7(9):690-693doi: http://dx.doi.org/10.14740/jocmr2209w
机译：背景：说服无症状的患者至症状轻微的患者进行房颤（AF）治疗可能具有挑战性。我们假设一旦出现窦性心律，无症状至无症状的患者将意识到他们正在补偿中度症状，并且我们可以通过加拿大心血管学会房颤的严重程度AF（CCS-SAF）评分对其进行量化。方法：本研究中的所有患者来自房颤症状缓解（SMART）研究。入选后，所有患者均获得CCS-SAF评分。通过电话联系选择接受干预的CCS-SAF评分为0或1的患者，电话询问其干预后与干预前相比的症状。结果：迄今为止，在SMART研究中，有800位患者中有48位患者符合我们的电话调查条件，并已在我们的诊所进行随访。在我们的队列中，干预前CCS-SAF的修订评分为1.69±1.36，干预后CCS-SAF的评分为0.52±0.80。三十七名患者报告症状改善。改善的患者平均较基线改善72.4％。结论：我们认为无症状至症状轻微的AF患者可从治疗中受益，尽管缺乏症状也应进行干预。JClin Med Res。 2015; 7（9）：690-693doi：http：//dx.doi.org/10.14740/jocmr2209w

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