心脏术后房性快速性心律失常的危险因素及治疗  

Atrial Tachyarrhythmias after Cardiac Surgery:Incidence,Risk Factors,and Therapy

作　　者：李荣[1] 吴兵[1] 

机构地区：[1]锦州市中心医院心血管外科,辽宁锦州121000

出　　处：《中国胸心血管外科临床杂志》2016年第12期1183-1188,共6页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：房性快速性心律失常是心脏术后常见的并发症,延长了住院时间,增加了费用,是术后主要的死亡原因。心房颤动是最常见的房性快速性心律失常,它经常与其他房性快速性心律失常相关,例如心房扑动,房性早搏和多源性房性心动过速。术后的心房颤动通常是自限性的,但可能需要抗凝治疗和控制传导速度或心室率的治疗。在本文中,我们回顾心脏术后房性快速性心律失常的机制,危险因素和主要房性快速性心律失常(心房颤动)的治疗。Atrial tachyarrhythmias is a known complication after cardiac surgery and represents a major cause of morbidity, increased length of hospital stay, and economic costs. Atrial fibrillation is the most common heart rhythm disorder. And it is often associated with other atrial tachyarrhythmias, such as atrial flutter （AFlu）, premature atrial complexes, and multifocal atrial tachycardia. Postoperative atrial fibrillation is often self-limiting, but it may require anticoagulation therapy and either a rate or rhythm control strategy. We provide a complete and updated review about mechanisms, risk factors, and treatment strategies for the main atrial tachyarrhythmias （atrial fibrillation）.

关 键 词：房性快速性心律失常 心房颤动 心房扑动 冠状动脉旁路移植术 

分 类 号：R541.7[医药卫生—心血管疾病]