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首页> 外文期刊>The American Journal of Cardiology >Usefulness of Preprocedural Left Ventricular End-Systolic Volume Index and Early Diastolic Mitral Annular Velocity in Predicting Improvement in Left Ventricular Ejection Fraction Following Atrial Fibrillation Ablation in Patients With Impaired Left Ventricular Systolic Function
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Usefulness of Preprocedural Left Ventricular End-Systolic Volume Index and Early Diastolic Mitral Annular Velocity in Predicting Improvement in Left Ventricular Ejection Fraction Following Atrial Fibrillation Ablation in Patients With Impaired Left Ventricular Systolic Function

机译:在左心室收缩功能障碍患者中,预先预测左心室喷射部分预测左心室喷射部分预测的早期舒张式二尖瓣环速度的有用性

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摘要

Catheter ablation of atrial fibrillation (AF) is known to facilitate reverse remodeling of the left ventricle. However, factors that can improve the left ventricular (LV) systolic function remain elusive. In this study, we investigated factors related to LV ejection fraction (LVEF) improvement following AF ablation in patients with systolic dysfunction. A total of 140 patients with impaired LVEF ( = 5.4 independently predicted the outcome after adjusting for confounders (hazard ratio 1.74; 95% confidence interval 1.06 to 2.95; p = 0.03; hazard ratio, 1.99; 95% confidence interval 1.13 to 3.64; p = 0.01). LVEF improvement was achieved in 69% of patients who underwent AF ablation, including 4% with late improvement. Lower LVESVI and higher e' could independently predict LVEF improvement. (C) 2019 Published by Elsevier Inc.
机译:已知心房颤动(AF)的导管消融,以促进左心室的反向重塑。 然而,可以改善左心室(LV)收缩功能的因素仍然难以捉摸。 在这项研究中,我们在收缩功能障碍患者的AF消融后,研究了与LV喷射分数(LVEF)改善有关的因素。 总共140例受损的LVEF(= 5.4独立地预测了调整混淆后的结果(危险比1.74; 95%置信区间1.06至2.95; P = 0.03;危险比,1.99; 95%置信区间1.13至3.64; p = 0.01)。在69%的患者中,患者的患者达到了= 0.01)。

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