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|本期目录/Table of Contents|

慢性阻塞性肺病患者心房颤动与心脏结构的关联性

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2016年第3期
页码:
316-318
栏目:
临床研究
出版日期:
2016-01-05

文章信息/Info

Title:
Relationship between primary atrial fibrillation and cardiac structure in patients with chronic obstructive pulmonary disease
作者:
徐青山
(上海市闸北区中心医院心内科，上海 200070)
Author(s):
XU Qing-shan
(Department of Cardiology, Central Hospital of Zhabei District, Shanghai 200070, China)
关键词:
慢性阻塞性肺病; 心脏结构; 心房颤动
Keywords:
chronic obstructive pulmonary disease;  cardiac structure;  atrial fibrillation
分类号:
R563.1
DOI:
-
文献标识码:
A
摘要:
目的 分析慢性阻塞性肺病（COPD）患者初发心房颤动与心脏结构的关联性。方法 将426例COPD患者分成窦性心律组（n=376）和初发房颤组（n=50）通过单因素分析得出COPD初发房颤的影响因素，再运用logistic回归分析COPD患者初发房颤的高危因素。结果 单因素分析显示与窦性心律组比较，初发房颤组患者在年龄、冠心病史、右心室内径（RVD）、左心房内径（LAD）、右心房内径（RAD）、肺动脉内径（PAD）方面差异具有统计学意义（P<0.05），在初发房颤影响因素logistic回归分析中LAD（P<0.05）、RAD（P<0.05）是COPD患者初发房颤的危险因素。结论 COPD患者初发房颤与心脏结构有关联，左心房及右心房增大是COPD患者初发房颤的独立相关因素。
Abstract:
AIM To study the relationship between atrial fibrillation (AF) and cardiac structure in patients with chronic obstructive pulmonary disease (COPD). METHODSA total of 426 COPD patients were divided into two groups: sinus rhythm group (n=376) and primary atrial fibrillation group (n=50). Logistic regression analysis was conducted to evaluate the relation between AF and factors such as age, gender, COPD duration, underlying diseases, drug use and echocardiography results. RESULTSUnivariate analysis indicated a significant difference in age, history of coronary heart disease, right ventricular diameter, left atrium diameter, right atrial diameter and pulmonary artery diameter (P<0.05). Stepwise logistic regression analysis showed that left atrium diameter (P<0.05) and right atrial diameter (P<0.05) were risk factors for primary atrial fibrillation. CONCLUSIONIn COPD patients with AF, pulmonary artery pressure obviously increases and left and right atrium diameters obviously enlarge. Left and right atrium diameters are predictors for AF occurrence.

参考文献/References

[1]Akamova EG.Characteristic cardiac rhythm disturbances in patients with chronic obstructive pulmonary disease[J].Klin Med(Mosk),2013,91(2):41-44.
[2]Mapel DW,Dedrick D,Davis K.Trends and cardiovascular comorbidities of COPD patients in the Veterans Administration Medical System, 1991-1999[J].COPD,2005,2(1):35-41.
[3]Sidney S,Sorel M,Quesenberry CP,et al.Eisner MD.COPD and incident cardiovascular disease hospitalizations and mortality:Kaiser Permanente Medical Care Program[J].Chest,2005,128(4):2068-2075.
[4]Moe GK,Abildskov JA.Atrial fibrillation as a self-sustaining arrhythmia independent of focal discharge[J].Am Heart J,1959,58(1):59-70.
[5]Salpeter SR,Ormiston TM,Salpeter EE.Cardiovascular effects of beta agonists in patients with asthma and COPD:a meta-analysis[J].Chest,2004,125(6):2309-2321.
[6]Gu J,Liu X,Tan H,et al.Impact of chronic obstructive pulmonary disease on procedural outcomes and quality of life in patients with atrial fibrillation undergoing catheter ablation[J].J Cardiovasc Electrophysiol,2013,24(2):148-1154.
[7]Leung CC,Moondra V,Catherwood E,et al.Prevalence and risk factors of pulmonary hypertension in patients with elevated pulmonary venous pressure and preserved ejection fraction[J].Am J Cardiol,2010,15, 106(2):284-286.
[8]Preobrazhenski DV,Talyzina IV,Sidorenko BA,et al.Right ventricular cardiac failure in hospitalized patients with chronic obstructive pulmonary disease: prevalence and clinical and instrumental characteristics[J].Kardiologiia,2009,49(7-8):42-45.

备注/Memo

备注/Memo:
收稿日期：2015-02-21.
作者简介：徐青山，主治医生 Email：qingshan90111@126.com
更新日期/Last Update: 2016-01-07