CAJ | 학술논문

目的评价HATCH评分对心房颤动消融术后复发的预测价值.方法对123例(阵发性心房颤动74例,持续性心房颤动49例)2009年4月至2010年12月行射频消融术的心房颤动患者进行随访,其中HATCH评分0分65例,1分41例,≥2分17例.复发定义为术后3个月出现持续时间超过30 s的快速性房性心律失常.将患者分为复发组和未复发组.观察HATCH评分与心房颤动消融术后复发的关系.结果复发组43例,未复发组80例.随访12个月,复发组HATCH评分高于未复发组[(0.91 ±0.94)分比(0.53 ±0.80)分,P＜0.05].复发组HATCH≥2分的比例高于未复发组[23.3％(10/43)比8.8％(7/80),P＜0.01].HATCH≥2分对复发识别的灵敏度为25.0％,特异度为92.4％.随访12个月的Kaplan-Meier曲线显示,HATCH≥2分者累积未复发率低于HATCH评分0分和1分者(P＜ 0.05).结论 HATCH评分对心房颤动消融术后复发的预测有一定的价值.HATCH≥2分对于识别心房颤动消融术后复发具有较高的特异度.
목적 평개HATCH평분대심방전동소융술후복발적예측개치.방법 대123례(진발성심방전동74례,지속성심방전동49례)2009년4월지2010년12월행사빈소융술적심방전동환자진행수방,기중HATCH평분0분65례,1분41례,≥2분17례.복발정의위술후3개월출현지속시간초과30 s적쾌속성방성심률실상.장환자분위복발조화미복발조.관찰HATCH평분여심방전동소융술후복발적관계.결과 복발조43례,미복발조80례.수방12개월,복발조HATCH평분고우미복발조[(0.91 ±0.94)분비(0.53 ±0.80)분,P＜0.05].복발조HATCH≥2분적비례고우미복발조[23.3％(10/43)비8.8％(7/80),P＜0.01].HATCH≥2분대복발식별적령민도위25.0％,특이도위92.4％.수방12개월적Kaplan-Meier곡선현시,HATCH≥2분자루적미복발솔저우HATCH평분0분화1분자(P＜ 0.05).결론 HATCH평분대심방전동소융술후복발적예측유일정적개치.HATCH≥2분대우식별심방전동소융술후복발구유교고적특이도.
Objective To determine the predictive value of HATCH score on recurrence of atrial fibrillation (AF) after radiofrequency catheter ablation (RFCA).Methods The data of 123 consecutive AF patients (74 paroxysmal and 49 persistent AF) who underwent RFCA between April 2009 and December 2010 in our department were retrospectively analyzed.Of theses patients,65 (52.9％) patients had HATCH score =0,41 (33.3％) patients had HATCH score =1,and 17 (13.8％) patients had HATCH score ≥2 (HATCH =2 in 11 patients,HATCH =3 in 5 patients,HATCH =4 in 1 patient).The recurrence was defined as atrial tachyarrhythmia lasting more than 30 seconds after 3 months post RFCA.The patients were divided into recurrence group and no recurrence group.Relationship between HATCH score and recurrence was observed.Results There were 43 cases in recurrence group and 80 cases in no recurrence group.After 12 months follow-up,HATCH score was significant higher in recurrence group than in nonrecurrence group[(0.91 ±0.94) score vs.(0.53 ± 0.80) score,P ＜ 0.05].The ratio of patients with HATCH≥2 in recurrence group was higher than in non-recurrence group [23.3％ (10/43) vs.8.8％ (7/80),P ＜ 0.01].The sensitivity and specificity of HATCH ≥ 2 to define the risk of recurrence was 25.0％,92.4％ respectively.Cumulative non-recurrence rate of patients with HATCH score≥2 was lower than patients with HATCH score =0 and 1 (P ＜ 0.05).Conclusion Higher HATCH score is associated with increased risk of AF recurrence post RFCA.