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首页> 外文期刊>The American Journal of Cardiology >Gender differences of electrophysiological characteristics in focal atrial tachycardia.
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Gender differences of electrophysiological characteristics in focal atrial tachycardia.

机译:局灶性心动过速的电生理特征的性别差异。

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Gender differences of supraventricular tachycardias such as atrioventricular nodal re-entry, atrioventricular re-entry, and atrial fibrillation have been reported. There is little evidence of the effect of gender on focal atrial tachycardia (FAT). The study consisted of 298 patients who were referred to this institution for radiofrequency catheter ablation of FAT from October 1992 to April 2008 and included 156 men (52%) and 142 women (48%). Men were significantly older than women (57.9 +/- 18.2 vs 47.2 +/- 19.0 years old, p <0.001). Women had more associated arrhythmias (17.0% vs 28.9%, p = 0.01), mostly due to an increased incidence of atrioventricular nodal re-entrant tachycardia. Men had more cardiovascular co-morbidities (19.9% vs 9.9%, p = 0.02), a mechanism of increased automaticity (19.1% vs 8.1%, p = 0.01), and nonparoxysmal tachycardia (14.7% vs 4.4%, p = 0.01). No gender differences were noted among FAT number, left atrial involvement, shortest tachycardia cycle, success rate of catheter ablation, or recurrence rate of FAT. Mean duration of follow-up was 63.2 +/- 47.5 months. Premenopausal women had a lesser cardiovascular co-morbidity (15.3% vs 4.3%, p = 0.04) and a greater incidence of a mechanism of increased automaticity (13.4% vs 2.9%, p = 0.03). In conclusion, gender differences in electrophysiologic characteristics were noted in FAT.
机译:室上性心动过速的性别差异,例如房室结折返,房室折返和房颤。几乎没有证据表明性别对局灶性心动过速(FAT)有影响。该研究包括从1992年10月至2008年4月转诊至该机构进行FAT射频导管消融的298例患者,其中包括156例男性(52%)和142例女性(48%)。男性明显比女性大(57.9 +/- 18.2岁对47.2 +/- 19.0岁,p <0.001)。女性伴发的心律不齐较多(17.0%vs 28.9%,p = 0.01),主要是由于房室结折返性心动过速的发生率增加。男性有更多的心血管疾病合并症(19.9%vs 9.9%,p = 0.02),自动性增强的机制(19.1%vs 8.1%,p = 0.01)和非阵发性心动过速(14.7%vs 4.4%,p = 0.01) 。在FAT数量,左心房受累,最短的心动过速周期,导管消融成功率或FAT复发率之间未发现性别差异。平均随访时间为63.2 +/- 47.5个月。绝经前妇女的心血管合并症较少(15.3%vs 4.3%,p = 0.04),并且自发性增加机制的发生率较高(13.4%vs 2.9%,p = 0.03)。总之,在FAT中注意到性别在电生理特征上的差异。

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