Clinical treatment of radiofrequency ablation in elderly patients with atrial fibrillation and uremia
房颤合并尿毒症老年患者射频消融临床治疗

摘要

目的 探讨经导管射频消融对房颤合并尿毒症老年患者术后早期心脏结构及功能的影响。方法 回顾分析在我院接受经导管射频消融治疗的62例房颤合并尿毒症老年患者术后早期心脏结构及功能情况，利用心脏彩超确定术后早期患者各项心脏指标。结果 术后房颤合并尿毒症老年患者心脏结构及功能得到一定改善，LVEDD、LVESD、LVEF、A峰、E/A、左心房容积指数、三尖瓣反流压较手术前没有明显差异，LAD、RAD、E峰明显优于手术前，且P＜0.05，有统计学意义。结论 经导管射频消融对房颤合并尿毒症老年患者术后早期心脏结构及功能的影响确切，临床治疗效果明显。

Abstract

Objective To explore the effect of transcatheter radiofrequency ablation on early postoperative cardiac structure and function in elderly patients with atrial fibrillation and uremia.
Methods A retrospective analysis was conducted on the early postoperative cardiac structure and function of 62 elderly patients with atrial fibrillation complicated with uremia who received transcatheter radiofrequency ablation treatment in our hospital. Cardiac ultrasound was used to determine various cardiac indicators in the early postoperative patients.
Results The cardiac structure and function of elderly patients with postoperative atrial fibrillation combined with uremia improved to some extent. LVEDD, LVESD, LVEF, A-peak, E/A, left atrial volume index, tricuspid regurgitation pressure did not show significant differences compared to before surgery. LAD, RAD, and E-peak were significantly better than before surgery, and P<0.05, with statistical significance.
Conclusion   Transcatheter radiofrequency ablation has a definite impact on the early postoperative cardiac structure and function in elderly patients with atrial fibrillation and uremia, and the clinical treatment effect is significant.