心房颤动的非药物治疗策略  

Non-pharmacologic therapeutic strategies for atrial fibrillation

作　　者：蓝县武 李自成[1] 张爱东[1] 李海瑞[1] 林玉壁[1] 

机构地区：[1]暨南大学附属第一医院心内科,广州510630

出　　处：《临床心血管病杂志》2013年第12期883-887,共5页Journal of Clinical Cardiology

基　　金：中央高校基本科研业务费专项资金资助(No:21611333);暨南大学第一临床医学院重点学科基金(No:暨一临【2010】4号);暨南大学第一临床医学院科研专项基金青年03号(No:暨一临【2012】7号);暨南大学科研基本业务费优秀推免生创新计划

摘　　要：心房颤动(房颤)是临床常见的心律失常之一。近年来房颤的非药物治疗取得较快的发展,包括外科迷宫术、射频消融术、起搏治疗、左心耳封堵术等,其中外科迷宫术和射频消融术是临床房颤治疗的基石,但前者操作复杂限制了其临床运用,导管射频消融治疗对于阵发性、持续性房颤都有较好的临床疗效,成为目前治疗房颤的优先选择策略。对于药物或导管消融转律失败且心室率控制欠佳的患者,房室结消融联合心脏起搏治疗可能是临床选择策略之一。本文就房颤的非药物治疗的新进展进行综述。Atrial fibrillation （Af） is a kind of common arrhythmia. The non-drug therapy of Af has been developed rapidly in recent years, including surgical maze, catheter ablation, pacemaker therapy, percutaneous left atrial appendage closure and so on. Maze surgery and catheter ablation are the foundation for the treatment of Af, but the former complex operation limits its clinical use. Catheter ablation therapy for paroxysmal, persistent af has better clinical curative effect, become the preferred strategy for the treatment of atrial fibrillation. Failure of restore to sinus rhythm by the drugs and catheter ablation, atrioventricular node ablation combined with pacemaker therapy should be considered. This article summarized the new development of the non-drug theraputic strategies for Af.

关 键 词：心房颤动 治疗 导管消融 手术 

分 类 号：R541.7[医药卫生—心血管疾病]