[1]周晓娟 徐健 张理想 詹玲 赵梅.预测阵发性心房颤动患者射频导管消融术后早期复发风险的列线图模型的构建[J].心血管病学进展,2021,(9):859-864.[doi:10.16806/j.cnki.issn.1004-3934.2021.09.022]
 ZHOU Xiaojuan,XU Jian,ZHANG Lixiang,et al.Development of Nomogram Model for Predicting Early Recurrence Risk of Patients with Paroxysmal Atrial Fibrillation after Radiofrequency Catheter Ablation[J].Advances in Cardiovascular Diseases,2021,(9):859-864.[doi:10.16806/j.cnki.issn.1004-3934.2021.09.022]
点击复制

预测阵发性心房颤动患者射频导管消融术后早期复发风险的列线图模型的构建()
分享到:

《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2021年9期
页码:
859-864
栏目:
论著
出版日期:
2021-09-25

文章信息/Info

Title:
Development of Nomogram Model for Predicting Early Recurrence Risk of Patients with Paroxysmal Atrial Fibrillation after Radiofrequency Catheter Ablation
文章编号:
202102082
作者:
周晓娟12 徐健2 张理想2 詹玲2 赵梅1
(1.安徽医科大学护理学院,安徽 合肥 230022;2.中国科学技术大学附属第一医院(安徽省立医院)
Author(s):
ZHOU Xiaojuan12XU Jian2ZHANG Lixiang2ZHAN Ling2ZHAO Mei1
School of Nursing,Anhui Medical University,Hefei 230022,Anhui,China; 2.The First Affiliated Hospital of University of Science and Technology of China(Anhui Provincial Hospital),Hefei 230036,Anhui,China)?/html>
关键词:
阵发性心房颤动导管消融复发风险列线图
Keywords:
Paroxysmal atrial fibrillationCatheter ablationRelapseRisks Nomogram
DOI:
10.16806/j.cnki.issn.1004-3934.2021.09.022
摘要:
目的 构建阵发性心房颤动(PAF)患者射频导管消融术后早期复发风险的预测模型。方法 纳入266例首次行导管消融术的PAF患者,回顾性分析患者术后早期复发的风险因素,并构建列线图模型。结果 多因素逻辑回归分析结果提示,左房前后径、心电图f波类型、病程、超敏C反应蛋白、年龄、血浆N末端脑钠肽前体是PAF患者术后早期复发的独立风险因素(P<0.05)。依此构建的列线图预测模型经受试者操作特征曲线、校准曲线及临床决策分析曲线证实,其具有较好的预测效率及临床适用性。结论 本研究基于左房前后径、心电图f波类型、病程、超敏C反应蛋白、年龄和N末端脑钠肽前体这6项术后早期复发的独立影响因素,构建了预测PAF患者导管消融术后早期复发风险的列线图模型。该模型具有良好的预测效能与临床应用价值,能个体化地实现对PAF患者术后早期复发风险的预测,可指导临床医护人员筛选高风险的患者,制定针对性的预防策略。
Abstract:
Objective To develop a prediction model for the risk of early recurrence in patients with paroxysmal atrial fibrillation(PAF) after radiofrequency catheter ablation. Methods 266 patients with PAF who underwent catheter ablation for the first time were enrolled. The risk factors of early postoperative recurrence were analyzed retrospectively and a nomogram model was developed. Results The multivariate logistic regression analysis showed that LAD, type of f wave in ECG,course of disease,hs-CRP,age and NT-proBNP were independent risk factors for early postoperative recurrence in patients with PAF(P<0.05). The nomogram prediction model based on those risk factors was proved to have good prediction efficiency and clinical applicability by ROC curve,calibration curve and DCA curve. Conclusion In this study,a nomogram model was established to predict the risk of early recurrence of PAF patients after catheter ablation based on the six independent factors of left atrial diameter,f wave type of ECG,course of disease, hs-CRP,age and NT-proBNP. The nomogram model had good predictive efficiency and clinical application value,and could predict the early recurrence risk of PAF patients individually. It could guide clinical medical staff to screen high-risk patients and formulated targeted preventive strategies

相似文献/References:

[1]潘维,综述,殷跃辉,等.冷冻球囊消融术与射频消融术治疗阵发性心房颤动的比较[J].心血管病学进展,2016,(4):345.[doi:10.16806/j.cnki.issn.1004-3934.2016.04.005]
 PAN Wei,YIN Yuehui.Cryoballoon Versus Radiofrequency Ablation for Paroxysmal Atrial Fibrillation[J].Advances in Cardiovascular Diseases,2016,(9):345.[doi:10.16806/j.cnki.issn.1004-3934.2016.04.005]
[2]吴彤 高东来.心房颤动合并心力衰竭的射频消融治疗[J].心血管病学进展,2019,(5):757.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.023]
 WU TongGAO Donglai.Catheter Ablation of Atrial Fibrillation in Patients with Heart Failure[J].Advances in Cardiovascular Diseases,2019,(9):757.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.023]
[3]赵磊 梁兆光.导管消融术后心房颤动复发的危险因素及预防[J].心血管病学进展,2019,(5):766.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.025]
 ZHAO LeiLIANG Zhaoguang.Risk Factors and Prevention of Atrial Fibrillation Recurrence after Catheterablation[J].Advances in Cardiovascular Diseases,2019,(9):766.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.025]
[4]辛小宇 梁兆光.心房颤动导管消融围术期抗凝治疗研究进展[J].心血管病学进展,2020,(8):809.[doi:10.16806/j.cnki.issn.1004-3934.2020.08.007]
 XIN XiaoyuLIANG Zhaoguang.Perioperative Anticoagulation for Atrial Fibrillation Catheter Ablation[J].Advances in Cardiovascular Diseases,2020,(9):809.[doi:10.16806/j.cnki.issn.1004-3934.2020.08.007]
[5]孙姣 于晓红 尹晓盟.心室颤动导管消融治疗进展[J].心血管病学进展,2020,(10):1044.[doi:10.16806/j.cnki.issn.1004-3934.2020.10.011]
 SUN Jiao,YU Xiaohong,YIN Xiaomeng.Catheter Ablation for Ventricular Fibrillation[J].Advances in Cardiovascular Diseases,2020,(9):1044.[doi:10.16806/j.cnki.issn.1004-3934.2020.10.011]
[6]马贵清 罗功名 彭瑜 张钲.急性心肌梗死后心室电风暴的临床进展[J].心血管病学进展,2020,(11):1156.[doi:10.16806/j.cnki.issn.1004-3934.2020.11.000]
 Ventricular Electrical Storm after Acute Myocardial Infarction.[J].Advances in Cardiovascular Diseases,2020,(9):1156.[doi:10.16806/j.cnki.issn.1004-3934.2020.11.000]
[7]赵灿 吴永全.基于环肺静脉隔离的房颤导管消融策略选择治疗进展[J].心血管病学进展,2020,(12):1234.[doi:10.16806/j.cnki.issn.1004-3934.2020.12.003]
 ZHAO Can,WU Yongquan.Catheter Ablation Strategies for Atrial Fibrillation Based on Circumferential Pulmonary Vein Isolation[J].Advances in Cardiovascular Diseases,2020,(9):1234.[doi:10.16806/j.cnki.issn.1004-3934.2020.12.003]
[8]刘玉辉 王盼盼 陈椿.心房颤动性心肌病临床研究进展[J].心血管病学进展,2020,(12):1238.[doi:10.16806/j.cnki.issn.1004-3934.2020.12.004]
 LIU Yuhui,WANG Panpan,CHEN Chun.Atrial Fibrillation-induced Cardiomyopathy[J].Advances in Cardiovascular Diseases,2020,(9):1238.[doi:10.16806/j.cnki.issn.1004-3934.2020.12.004]
[9]白金龙 李洪仕 蔡衡.非瓣膜性心房颤动导管消融术后抗凝策略的研究进展[J].心血管病学进展,2021,(1):30.[doi:10.16806/j.cnki.issn.1004-3934.201.01.000]
[10]那丞 黄织春.干预自主神经对心房颤动影响的研究进展[J].心血管病学进展,2021,(1):30.[doi:10.16806/j.cnki.issn.1004-3934.2021.01.000]
 NA Cheng,HUANG Zhichun.Effect of Autonomic Nerve Intervention on Atrial Fibrillation[J].Advances in Cardiovascular Diseases,2021,(9):30.[doi:10.16806/j.cnki.issn.1004-3934.2021.01.000]

备注/Memo

备注/Memo:
该论文需修改及补充一下,建议修改的地方用红色表示。感谢贵刊审稿专家建议,文中标注出的需修改地方已用红色字体表示。这个结论不是很满意
更新日期/Last Update: 2021-10-21