导管消融术后心房颤动复发的危险因素及预防  

Risk Factors and Prevention of Atrial Fibrillation Recurrence after Catheter Ablation

作　　者：赵磊[1] 梁兆光[1] ZHAO Lei;LIANG Zhaoguang(Department of Cardiology,The First Affiliated Hospital of Harbin Medical University,Harbin 150000,Heilongjiang,China)

机构地区：[1]哈尔滨医科大学附属第一医院心内科

出　　处：《心血管病学进展》2019年第5期766-769,共4页Advances in Cardiovascular Diseases

摘　　要：心房颤动是临床上最常见的心律失常,与血栓栓塞风险的增加、心源性猝死及生活质量下降等密切相关。近年来导管消融术逐渐成为心房颤动非药物治疗的一线手段,但仍有一些患者出现术后心房颤动复发。心房颤动复发的类型包括早期复发、晚期复发及远期复发,不同的复发类型存在不同的病理生理机制,但存在部分相似的危险因素,完善的术后患者管理及严格的危险因素控制是预防心房颤动复发的关键。现分别探讨不同术后复发类型的病理机制及其危险因素,并结合心房颤动复发的预防进行综述。Atrial fibrillation(AF)is the most common arrhythmia clinically,and closely related to increased risk of thromboembolism,sudden cardiac death and decreased quality of life.In recent years,catheter ablation has gradually become the first line of non-drug therapy for AF,but some patients still have recurrent AF after ablation.The types of AF recurrence include early recurrence,late recurrence and long-term recurrence,and there are different mechanisms in different types of AF,but some risk factors are similar.Good patient management and strict risk factors control are the key to prevent the recurrence of AF.In this paper,the mechanism and risk factors of different types of AF recurrence were discussed,and same of the prevention of AF.

关 键 词：心房颤动 导管消融 复发 预防 

分 类 号：R54[医药卫生—心血管疾病]