摘要
目的:探讨房颤患者复律治疗前后NT-Pro BNP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-Pro BNP,比较复律成功组和复律不成功组治疗前后的NT-Pro BNP水平,以及随访期窦律维持组和房颤复发组NT-Pro BNP水平。结果:复律未成功组复律前、后NT-Pro BNP均明显高于转复成功组复律前、后NT-Pro BNP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-Pro BNP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-Pro BNP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-Pro BNP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-Pro BNP水平可以作为预测房颤是否复发的指标。
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.
出处
《中国医学创新》
CAS
2015年第13期50-53,共4页
Medical Innovation of China
基金
包头市卫生局科研立项(WSJJ2014017)
关键词
NT-PROBNP
房颤
节律控制
室率控制
NT-proBNP Atrial fibrillation
Rhythm control
Ventricular rate control
