2014年AHA/ACC/HRS心房颤动管理指南述评  

2014 AHA/ACC/HRS guideline for management of atrial fibrillation

作　　者：陈志坚[1] 张敏[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院心内科,武汉430022

出　　处：《临床心血管病杂志》2014年第11期929-931,共3页Journal of Clinical Cardiology

摘　　要：心房颤动(房颤)是临床上最为常见的心律失常,其主要危害是紊乱的快房室率及血栓栓塞事件。历时8年,AHA/ACC/HRS于2014年发布了新版房颤管理指南,取代2006年ACC/AHA/ESC房颤管理指南。新版指南内容丰富,亮点众多,重点从血栓栓塞预防、频率控制和节律控制3个方面进行了更新。然而,仍有一些推荐不明晰或存在争议。本文对该指南进行浅析,予以推介。Atrial fibrillation（AF）is the most common abnormal heart rhythms.After eight years,2014AHA/ACC/HRS released a new guideline for management of AF,replacing the guideline issued by ACC/AHA/ESC in 2006.The new guideline is rich in content,and consists of many bright spots.The new version of AF guideline mainly updated recommendations on three aspects,including thromboembolism prevention,rate control and rhythm control.However,there are still some recommendation unclear or disputed.After careful reading and entire analysis,we wish to give some comments on it.

关 键 词：心房颤动 血栓栓塞 频率控制 节律控制 

分 类 号：R541.7[医药卫生—心血管疾病]