CAJ | 학술논문

目的：探讨房颤患者复律治疗前后NT-ProBNP水平变化与房颤复发之间的关系。方法：选择房颤患者50例，入院后复律前、后均检测NT-ProBNP，比较复律成功组和复律不成功组治疗前后的NT-ProBNP水平，以及随访期窦律维持组和房颤复发组NT-ProBNP水平。结果：复律未成功组复律前、后NT-ProBNP均明显高于转复成功组复律前、后NT-ProBNP水平，比较差异有统计学意义（P<0.01）。房颤复发组复律治疗后NT-ProBNP水平高于窦律维持组，比较差异有统计学意义（P<0.01）。结论：复律前NT-ProBNP水平异常增高者及复律后仍高于正常者复律成功的可能较小，控制心室率即可；复律后NT-ProBNP水平迅速恢复正常者更容易维持窦律。房颤患者复律后的NT-ProBNP水平可以作为预测房颤是否复发的指标。
목적：탐토방전환자복률치료전후NT-ProBNP수평변화여방전복발지간적관계。방법：선택방전환자50례，입원후복률전、후균검측NT-ProBNP，비교복률성공조화복률불성공조치료전후적NT-ProBNP수평，이급수방기두률유지조화방전복발조NT-ProBNP수평。결과：복률미성공조복률전、후NT-ProBNP균명현고우전복성공조복률전、후NT-ProBNP수평，비교차이유통계학의의（P<0.01）。방전복발조복률치료후NT-ProBNP수평고우두률유지조，비교차이유통계학의의（P<0.01）。결론：복률전NT-ProBNP수평이상증고자급복률후잉고우정상자복률성공적가능교소，공제심실솔즉가；복률후NT-ProBNP수평신속회복정상자경용역유지두률。방전환자복률후적NT-ProBNP수평가이작위예측방전시부복발적지표。
Objective:To explore the relationship between the level of NT-ProBNP before and after cardioversion treatment in patients with the recurrence of atrial fibrillation(AF). Method:50 patients with AF were tested NT-ProBNP before and after admission. NT-ProBNP was compared between the successful cardioversion group and the failure group,coupled with that between the Maintenance of sinus rhythm group and the recurrence of atrial fibrillation group. Result:NT-ProBNP before and after treatment in failure group was significantly higher than the successful group (P<0.01). NT-ProBNP after treatment in the recurrence of atrial fibrillation group was significantly higher than the maintenance of sinus rhythm group(P<0.01). Conclusion:The probability of successful cardioversion for those who had higher level of NT-ProBNP before and after cardioversion treatment is lower while controlling ventricular rate was desirable;it is easier to maintain sinus rhythm for those whose NT-ProBNP rapid returned to normal after treatment. The content of NT-ProBNP after treatment in patients with AF can act as the index to predict the recurrence of atrial fibrillation.