Influence of interventional closure on heart rate in patients with atrial septal defect ／
10.3969/j.issn.1008－0074.2019.06.22
- VernacularTitle:介入封堵房间隔术对患者心率的影响
- Author:
Yuchen DUAN
1
;
Fenghua XUE
;
Mingyang HONG
;
Yuanshi LI
;
Qianping GAO
;
Lu FU
Author Information
1. 哈尔滨医科大学附属第一医院心内科
- Keywords:
Heart septal defects,atrial;
Heart rate;
Septal occluder device
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2019;28(6):86-89
- CountryChina
- Language:Chinese
-
Abstract:
To explore influence of interventional closure on heart rate in patients with atrial septal defect . Methods : A total of 63 patients with atrial septal defect undergoing percutaneous interventional closure in our hospi‐tal were selected. Heart rate was compared before and after surgery ,and correlation among heart rate ,age ,occlude size and preoperative pulmonary artery pressure was analyzed .Results : Compared with before surgery ,there was significant reduction in heart rate [(75.22 ± 8.23) beats／min vs. (64.87 ± 10. 65) beats／min] after percutaneous in‐terventional closure of atrial septal defect , P＝0.001 ;Pearson correlation analysis indicated that postoperative heart rate change was not correlated with age ,occluder size and pulmonary artery systolic pressure (PASP ) ( r＝0.017－0.182 , P＞0.05 all) . Compared with patients without preoperative pulmonary artery hypertension ,there was sig‐nificant rise in postoperative reduction amplitude of heart rate [ (2.28 ± 9.81) beats／min vs. (11. 35 ± 10.73) beats／min] in those with preoperative elevated pulmonary systolic pressure (≥25mmHg) , P＝0.038 .Conclusion : After percutaneous interventional closure ,heart rate significantly decreases in patients with atrial septal defect .Presence of preoperative pulmonary artery hypertension can be regarded as a risk predictor for postoperative heart rate reduction .
