ABSTRACT
Objective: To explore the impact of echocardiographic parameter of diastolic dysfunction (E/A) on the recurrence of atrial ifbrillation (AF) in patients after catheter ablation. Methods: We retrospectively studied 277 consecutive AF patients with circumferential pulmonary vein ablation (CPVA) in our hospital. According to E/A ratio, the patients were divided into 3 groups: Normal group, the patients with 0.752, n=21. The late AF recurrent rates were compared among different groups. The patients were divided into another 2 groups upon AF recurrence after CPVA: Recurrent group, n=57 patients with atrial arrhythmia lasted more than 30 seconds at 3 months after CPVA and Non-recurrent group, n=220. The clinical conditions were compared between 2 groups. Results: The patients were followed-up for (374 ± 276) days. The AF recurrent rate in Severe abnormal group was 33.3%, in Mild abnormal group was 23.5% and in Normal group was 18.5%, P>0.05. The E/A ratio in Recurrent group was 1.22 ± 0.54, in Non-recurrent group was 1.19 ± 0.49, P=0.653. Univariate analysis indicated that the risk factors for AF recurrence included LVEDD and gender, not E/A ratio (P=0.236). Cox multivariate analysis indicated that with adjusted gender, hypertension, diabetes, LVEDD and LVESD, abnormal E/A ratio was the predictor for late AF recurrence (HR 2.29, 95%CI 1.01-5.19, P=0.046). With further adjusted LVEDD and E/A, the severe abnormal E/A ratio was still the predictor for AF recurrence (HR 2.27, 95%CI 1.01-5.12, P=0.047). Conclusion: E/A ratio was the important predictor for AF recurrence in patients after CPVA.
ABSTRACT
Objective To study the effect of Shuxuening injection on treatment of left ventricular diastolic dysfunction.Methods Ninety cases of left ventricular diastolic dysfunction were divided into control group and test group randomly,45 cases for each group.Both groups were treated with standard management and the treatment group was given Shuxuening injection(20 mL) additionally for 2 weeks.E/A ratio,peak E,peak A,LVEF were observed before and after treatment.Result The clinical symptoms of the two groups were all improved after treatment.The test group had a higher overall effective rate than the control group.The ventricular diastolic function paramenters(E/A ratio,peak E,peak A,LVEF) in the test group were much better than that in the control group.Conclusion Shuxuening injection can improve the clinical symptoms and signs of left ventricular diastolic dysfunction.