心房颤动导管消融术后房性心律失常复发的研究进展  

Research progress in atrial arrhythmia recurrence after catheter ablation for atrial fibrillation

作　　者：念思琦 赵璐露 华宝桐[1] NIAN Siqi;ZHAO Lulu;HUA Baotong(Department of Cardiology,the First Affiliated Hospital of Kunming Medical University,Kunming 650032,China)

机构地区：[1]昆明医科大学附属第一医院心内科,昆明650032

出　　处：《实用医学杂志》2024年第10期1338-1343,共6页The Journal of Practical Medicine

基　　金：国家自然科学基金项目(编号:82160080);云南省临床医学研究中心子课题专项基金(编号:202102AA310069);云南省“兴滇英才支持计划项目”(编号:YNWR-MY-2020-011,XDYC-ONRC-2022-0315)。

摘　　要：心房颤动(atrial fibrillation,AF)是临床中最常见的心律失常之一,致死率及致残率较高。近年来,在导管消融等手术的帮助下,部分患者术后可维持窦性心律,达到根治房颤的效果。但目前首次射频消融手术后房性心律失常复发率仍在20%~30%,房颤射频消融疗效尚未达到预期。探究消融术后复发的危险因素并进行干预,不断改良导管消融术式,这对降低复发风险极为重要。本文就心房颤动导管消融术后房性心律失常复发的最新研究进展作综述。Atrial fibrillation(AF)is one of the most common arrhythmias in clinical practice,with a high rate of death and disability.In recent years,with the help of catheter ablation and other techniques,some patients can maintain sinus rhythm,achieving the goal of eradicating AF.However,the recurrence rate of atrial arrhythmias after the first radiofrequency ablation is still around 20%to 30%at present,and the efficacy of radiofrequency ablation for AF has not yet reached the expected level.Exploring the risk factors for recurrence after ablation,inter⁃vening and continuously and improving the catheter ablation procedure are extremely important for reducing the risk of recurrence.This article reviews the latest research progress on the recurrence of atrial arrhythmias after catheter ablation for AF.

关 键 词：心房颤动 导管消融术 心律失常复发 肺静脉隔离 

分 类 号：R541.75[医药卫生—心血管疾病]