Abstract:【Objective】 To explore the correlation between serum levels of Galactin-3 (Gal-3), Visfatin, and Chemerin and recurrence after first catheter radiofrequency ablation in patients with atrial fibrillation.【Methods】 A total of 184 patients with atrial fibrillation admitted to our hospital from August 2019 to August 2021 were selected. All patients underwent radiofrequency ablation treatment after admission. They were divided into a recurrence group (n=53) and a non recurrence group (n=131) based on whether they recurred within 6 months after surgery. We compared two clinical data sets and serum levels of Chemerin, Gal-3, and Visfatin before and 1 month after surgery, and analyzed the correlation and predictive value of these indicators with postoperative recurrence of atrial fibrillation at 1 month after surgery.【Results】 The proportion of recurrent group, concomitant hypertension, coronary heart disease, and left atrial volume index (LAVI) were higher than those of the non recurrent group, and the left ventricular ejection fraction (LVEF) was higher than those of the non recurrent group, with statistical significance (P<0.05). The serum levels of Gal-3, Visfatin, and Chemerin in the recurrent group were higher than those in the non recurrent group before and 1 month after surgery, with statistical significance (P<0.05). Logistic regression analysis showed that serum Gal-3, Visfatin, and Chemerin levels at one month post surgery were independent risk factors for postoperative atrial fibrillation recurrence (P<0.05). The risk of postoperative atrial fibrillation recurrence in patients with high levels of Gal-3, Visfatin, and Chemerin was 4.076 times, 2.847 times, and 6.272 times higher than that in patients with low levels (P<0.05).【Conclusion】 Serum Gal-3, Visfatin, and Chemerin are closely related to postoperative recurrence in patients with atrial fibrillation after the first radiofrequency ablation, which can predict the risk of postoperative recurrence in patients early and help clinical physicians formulate targeted treatment plans to reduce recurrence rates.
张莉侠, 董锦丽. Chemerin、Gal-3、Visfatin与房颤患者首次导管射频消融术后复发的相关性[J]. 医学临床研究, 2024, 41(1): 18-21.
ZHANG Lixia, DONG Jinli. The Correlation between Chemerin, Gal-3, Visfatin and Recurrence after First Catheter Radiofrequency Ablation in Patients with Atrial Fibrillation. JOURNAL OF CLINICAL RESEARCH, 2024, 41(1): 18-21.
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