Could exercise be a new strategy to revert some patients with atrial fibrillation?

GatesP.; Al-DaherS.; RidleyD.; BlackA.

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Could exercise be a new strategy to revert some patients with atrial fibrillation?

机译：运动是否可以成为一种使一些房颤患者恢复的新策略？

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Background: This study is the result of the anecdotal observation that a number of patients with atrial fibrillation (AF) had noted reversion to sinus rhythm (SR) with exercise. We aimed to evaluate the potential role of exercise stress test (EST) for the reversion of AF. Methods: Patients with AF who were scheduled to undergo electrical cardioversion (DCR) underwent EST using a modified Bruce protocol. Results: Eighteen patients (16 male); aged 36-74 years (mean 58 years) were studied. Five patients (27.7%) had successful reversion with exercise (group 1). Thirteen patients remained in AF (group 2). No patient who failed to revert with exercise did so spontaneously before DCR 3 h to 7 months later (median 20 days). Comparison between group 1 and group 2 did not reveal any significant difference Conclusion: This small preliminary study suggests that in some patients it may be possible to revert AF to SR with exercise and avoid DCR and concomitant general anaesthesia. The authors suggest that a larger multicentre randomized trial is warranted to confirm or refute these initial results and if correct identify those who might benefit.

机译：背景：这项研究是轶事性观察的结果，许多房颤（AF）患者注意到运动后可恢复为窦性心律（SR）。我们旨在评估运动压力测试（EST）对房颤逆转的潜在作用。方法：使用改良的Bruce方案对计划进行电复律（DCR）的AF患者进行EST。结果：18名患者（16名男性）;研究了年龄在36-74岁（平均58岁）之间的人。五名患者（27.7％）在运动后成功地逆转（第1组）。 13名患者仍处于AF状态（第2组）。在DCR 3小时至7个月后（中值20天）之前，没有运动恢复失败的患者自发地这样做。第1组和第2组之间的比较没有发现任何显着差异。结论：这项小型的初步研究表明，在某些患者中，通过运动可以将AF恢复为SR，并避免DCR和伴随的全身麻醉。作者建议，应进行较大规模的多中心随机试验来确认或驳斥这些初步结果，如果正确，则应确定可能受益的人。

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《Internal medicine journal》 |2010年第1期|共4页
作者
GatesP.; Al-DaherS.; RidleyD.; BlackA.;
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正文语种 eng
中图分类内科学;
关键词
Atrial fibrillation; Cardioversion; Coronary artery disease; Exercise stress testing;

机译：心房颤动;心脏复律;冠状动脉疾病;运动压力测试;

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1. Could exercise be a new strategy to revert some patients with atrial fibrillation? [J] . GatesP., Al-DaherS., RidleyD., Internal medicine journal . 2010,第1期

机译：运动是否可以成为一种使一些房颤患者恢复的新策略？
2. Reduction of ventricular tachyarrhythmia by treatment of atrial fibrillation in ICD patients with dual-chamber implantable cardioverter/defibrillators capable of atrial therapy delivery: the REVERT-AF Study [J] . Rainer Gradaus1 Karlheinz Seidl2 Thomas Korte3 Ewald Himmrich4 Heinrich Wieneke5 Andreas Schuchert6 Wolfgang Bauer7 Joachim Ger?8 Christian G. Wollmann1 Martin Borggrefe9 and Dirk B?cker1 Europace . 2007,第7期

机译：REVERT-AF研究：通过ICD患者使用可进行房颤治疗的双腔植入式心脏复律器/除颤器治疗房颤，可减少室性心律失常：
3. Comparison of the rhythm control treatment strategy versus the rate control strategy in patients with permanent or long-standing persistent atrial fibrillation and heart failure treated with cardiac resynchronization therapy - a pilot study of Cardiac Resynchronization in Atrial Fibrillation Trial (Pilot-CRAfT): study protocol for a randomized controlled trial [J] . Jan Ciszewski, Aleksander Maciag, Ilona Kowalik, Trials . 2014,第1期

机译：永久性或长期性持续性心房颤动和心力衰竭患者接受心脏再同步治疗的心律控制治疗策略与心率控制策略的比较-心房颤动试验中心脏再同步的先导研究（Pilot-CRAfT）：研究方案用于随机对照试验
4. Exercise Testing for Non-Invasive Assessment of Atrial Electrophysiology in Patients with Persistent Atrial Fibrillation [C] . O. Husser, D. Husser, M. Stridh, Conference on Computers in Cardiology . 2006

机译：对持续性心房颤动患者心房电生理学无侵入性评估的运动测试
5. Does minimally invasive robotic surgical treatment alter exercise tolerance in patients with atrial fibrillation and mitral regurgitation at seven to eleven weeks post-operative? [D] . Patel, Leena Jayesh 2009

机译：微创机器人外科治疗是否适应心房颤动和术后七点至11周的心房颤动和二尖瓣反流的患者的运动耐受性？
6. Comparison of the rhythm control treatment strategy versus the rate control strategy in patients with permanent or long-standing persistent atrial fibrillation and heart failure treated with cardiac resynchronization therapy - a pilot study of Cardiac Resynchronization in Atrial Fibrillation Trial (Pilot-CRAfT): study protocol for a randomized controlled trial [O] . Jan Ciszewski, Aleksander Maciag, Ilona Kowalik, 2014

机译：永久性或长期性持续性心房颤动和心力衰竭患者接受心脏再同步治疗的节律控制策略与速率控制策略的比较-心房颤动试验中心脏再同步的先导研究（Pilot-CRAfT）：研究方案用于随机对照试验
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Could exercise be a new strategy to revert some patients with atrial fibrillation?

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