室上性心动过速患者行射频消融术后发生心血管不良事件的影响因素分析

Analysis of Influencing Factors of Adverse Cardiovascular Events in Patients with Supraventricular Tachycardia after Radiofrequency Ablation

摘要: 目的：分析室上速患者行射频消融术后再发心血管不良事件的相关因素。方法：收集暨南大学第一附属医院心内科2019年6月~2022年7月收治的SVT发作时存在胸痛以及ST段改变的152例患者的临床资料，通过追踪患者诊疗记录、电话随访等方式，对所有出院患者进行至少为期一年的随访，随访的内容主要包括：患者的一般情况；是否发生MACE。比较发生MACE组未发生组两组患者的一般临床资料、血液生化指标。结果：发现行冠脉造影(OR = 2.570, 95% CI 1.205~5.481, p < 0.05)及年龄(OR = 2.570, 95% CI 1.205~5.481, p < 0.05)是发生心血管不良事件的独立影响因素。结论：对于老年SVT患者进行冠脉造影可能会改善其预后。

Abstract: Aim: To analyze the risk factors of recurrent adverse cardiovascular events in patients with superi-or ventricular tachycardia after radiofrequency ablation. Methods: Clinical data of 152 patients with chest pain and ST segment changes during SVT attack admitted to the Department of Cardiology of the First Affiliated Hospital of Jinan University from June 2019 to July 2022 were collected. All dis-charged patients were followed up for at least one year by tracking patient diagnosis and treatment records and telephone follow-up. The contents of follow-up mainly include: the general condition of the patient; whether MACE occurs. The general clinical data and blood biochemical indexes of the two groups with MACE were compared. Results: Coronary angiography (OR = 2.570, 95% CI 1.205~5.481, p < 0.05) and age (OR = 2.570, 95% CI 1.205~5.481, p < 0.05) was an independent risk factor for cardiovascular adverse events. Conclusion: Coronary angiography may improve the prognosis of elderly patients with SVT.