心脏外科围术期心房颤动电复律研究进展  

Research progress in electrical cardioversion of atrial fibrillation during perioperative cardiac surgery

作　　者：袁斗 陈丽萍[2] 李涛[3] 钱永军[4] YUAN Dou;CHEN Liping;LI Tao;QIAN Yongjun(Department of Cardiovascular Surgery,Cheng Du Shang Jin Nan Fu Hospital,West China Hospital,Sichuan University,Chengdu,611743,RR.China;Department of Cardiology,West China Hospital,Sichuan University,Chengdu,610041,P.R.China;Department of Cardiovascular Surgery,West China Hospital,Sichuan University,Chengdu,610041,P.R.China;Department of Cardiovascular Surgery,National Clinical Research Center for Geriatrics,West China Hospital,Sichuan University,Chengdu,610041,P.R.China)

机构地区：[1]成都上锦南府医院暨四川大学华西医院上锦分院心脏大血管外科,成都611743 [2]四川大学华西医院心脏内科,成都610041 [3]四川大学华西医院心脏大血管外科,成都610041 [4]四川大学华西医院心脏大血管外科国家老年疾病临床医学研究中心,成都610041

出　　处：《中国胸心血管外科临床杂志》2022年第4期514-518,共5页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：国家老年疾病临床医学研究中心(四川大学华西医院)立项资助课题(Z2018B19);四川大学华西医院学科卓越发展1·3·5工程临床研究孵化项目(2019HXFH029);成都市科技局技术创新研发项目(2019-YF05-00183-SN)。

摘　　要：心房颤动(房颤)为心脏外科术后最常见并发症之一,现有观念对术后房颤的处理方法主要针对术前、术中和术后易发房颤因素进行术前预防、术中保护及术后治疗,但术后治疗方式各地区、各医院均存在差异。本文结合《Europace》最新发表关于房颤和心房扑动的复律实践指导文献,对电复律治疗进行总结,以期对心脏术后房颤电复律提供临床指导。Atrial fibrillation(AF)is one of the most common complications after cardiac surgery.The existing treatment of postoperative AF mainly focuses on preoperative prevention,intraoperative protection and postoperative treatment for factors prone to AF before,during and after surgery,but the postoperative treatment in various areas and hospitals is different.This article combines the latest literature published in Europace about the practice guidance of cardioversion of AF and atrial flutter,and summarizes the treatment of electrical cardioversion,in order to provide clinical guidance for electrical cardioversion of AF after cardiac surgery.

关 键 词：心脏术后 心房颤动 电复律 综述 

分 类 号：R654.2[医药卫生—外科学]