心房颤动与心房心肌病  

Atrial fibrillation and atrial cardiomyopathy

作　　者：陈琪[1,2] 程杰 

机构地区：[1]解放军总医院心内科,北京100039 [2]德克萨斯心脏研究所电生理实验室,美国休斯敦77025

出　　处：《临床荟萃》2017年第7期553-555,共3页Clinical Focus

基　　金：河北省科技计划项目(16277707D);河北省医学科学研究重点课题计划(20150190)

摘　　要：心房颤动(房颤)可以诱发心动过速性心肌病,引起或加重左心功能不全,反过来心功能不全也诱发和加重房颤。临床上,有很多情况可以造成心房的组织结构,机械或电生理功能产生综合而复杂的改变,并潜在或出现相关的临床症状,被称为心房心肌病。心房心肌病可能是房颤长期持续所致,也可能已经先于房颤存在,当其进展到一定程度时才引起房颤。目前认为,心房心肌病的病因,病理分型,与房颤的关系,以及对房颤治疗的指导意义等仍需要进一步深入研究。Atrial fibrillation （AF.） is one of the most common reasons for tachycardia-induccd cardiomyopathy, and left ventricle dysfunction can induce and facilitate the long lasting of AF. Any complex of contractile or clcctrophysiological changes affecting the atria with the potential to produce clinically-relevantmanifestations was defined as atrial cardiomyopathies. Atrial cardiomyopathies can be led by the long lasting AF,while it may also cause the onset of AF. However, further studies are necessary to explore the type and cause of atrialcardiomyopathies,and its association with AF.

关 键 词：心房颤动 心肌疾病 心动过速 

分 类 号：R541.75[医药卫生—心血管疾病]