Dissertation > Excellent graduate degree dissertation topics show

Circumferential pulmonary vein isolation technique and progressive individual ablation of atrial fibrillation results matrix comparative study

Author: ZhangShouWen
Tutor: CaiShangLang
School: Qingdao University
Course: Internal Medicine
Keywords: atrial fibrillation mechanism pulmonary vein radiofrequencv ablation
CLC: R541.75
Type: Master's thesis
Year: 2011
Downloads: 12
Quote: 0
Read: Download Dissertation

Abstract


Objective In this study, with follow-up time and a unified definition of success formulated, circumferential pulmonary veins isolation(CPⅥ) will be compared randomly with stepwise substrate catheter ablation(SSCA), in order to achieve the following purposes:(1) both of the X-ray exposure time, operating time, recurrence rate and complications will be observed with the comparison; (2) some exploration and experience of catheter ablation of atrial fibrillation will be expected to be received.Methods 62 patients of paroxysmal atrial fibrillation were randomly divided into CPVI group (CPⅥ,n=38) and SSCA group(n=24).Three-dimensional anatomical mapping system(CARTO) was used to guide building simulated three-dimensional images of pulmonary vein and left atrium, and Lasso circular mapping catheter used to guide ablation, through these ECGs and Holter’s ECGs of first.third and sixth months after the surgery, two groups will be finally compared the X-ray exposure time, operative time, recurrence rate and incidence of complications.Results (1) The X-ray exposure time of CP group and SSCA group were 33.32±6.03min and 33.42±3.93min. which no significant contrast between the two groups (P= 0.937). (2) The surgery time of both were 125.66±11.78min and 131.13±10.47min, which no significant contrast (P=0.661). (3) First month CPVI group and SSCA group were 76.3% and 75% in the rate of follow-up no-recurrence, third month the two groups were 84.2% and 75%, while sixth month the two groups were 86.8% and 62.5%, which were statistically significant (p<0.05).Conclusions (1) in the long term no-recurrence rate, CPVI is more superior than SSCA, but this needs further follow-up observation. (2) Based on the nowly mechanisms of atrial fibrillation, it will be more effective curement of atrial fibrillation as drug treatment combining catheter ablation.(3) It is relied on the breakthrough of the mechanisms of atrial fibrillation to cure atrial fibrillation more successfully.

Related Dissertations

  1. Study on Hermetic EDGE Sealing of Anodic Bonding for Vacuum Glazing,TQ171.1
  2. Reactive Hot-Pressing and Mechanical Properties of （ZrB2-ZrO2）/BN Composites,TB332
  3. The Effect of Composite Additive on the SNCR,X701
  4. Kunming Transient Population Community Present Situation, Question and Countermeasure Preliminary Study,C924.25
  5. Incentive Mechanism Research of the New Generation of Migrant Workers,F272.92
  6. Shandong Province,university research projects Integrated Management Model,G644
  7. Research and Implementation on Service-Oriented Multi-Agent System Cooperation Mechanism,TP393.09
  8. Gel - Foam Preparation of porous alumina insulation materials,TQ174.1
  9. Practice and prospects of the Clean Development Mechanism in China,X38
  10. The Research on Mechanism of NaHCO3 in the Prevention and Cure of the Dothiorella Gregaria,S763.7
  11. Structure the Institution of Chinese Archives Rendering the Service of Government Information Publicity,G273.5
  12. Effects of Nitrogen Management Practices on Expression and Degradation of Bt-protein in Transgenic Cotton,S562
  13. K City W ordinary civil service incentives,D630.3
  14. Study on Incentive Mechanism of Grassroots Civil Servants,D630.3
  15. The Research on Higheragricultural College Students’ Entrepreneurship,G647.38
  16. Study on Bacteriostatic Mechanism of Antagonistic Yeast and Effects on the Quality of Postharvest Strawberries,S668.4
  17. The Signal Mechanism Underlying DON Induced Apoptosis in BHK-21 Cells,S856.9
  18. The Study of Mitochondrial Signal Mechanism Induced Apoptosis by Don in Human Colon Cancer Cells,R735.35
  19. A Study on the Incentive Mechanism of Full-time Teacher in Private University with the Case-study of IU University,G647.2
  20. Research on Key Technology of Water Prevention and Control in Kilometric Vertical Shaft Construction,TD745
  21. The Effects of Telmisartan on Essential Hypertension with Paroxysmal Atrial Fibrillation,R541.75

CLC: > Medicine, health > Internal Medicine > Heart, blood vessels ( circulatory ) disease > Heart disease > Arrhythmia > Atrial fibrillation and atrial flutter
© 2012 www.DissertationTopic.Net  Mobile