《2024年ESC心房颤动管理指南》更新解读:心房颤动的外科诊治  

Updated interpretation of 2024 ESC guidelines for the management of atrial fibrillation:Surgical management of atrial fibrillation

作　　者：徐琦玥 孙伊人 钱永军[2] XU Qiyue;SUN Yiren;QIAN Yongjun(First School of Clinical Medicine,Mudanjiang Medical University,Mudanjiang,157011,Heilongjiang,P.R.China;Department of Cardiovascular Surgery,West China Hospital,Med-X Center for Materials,Sichuan University,Chengdu,610041,P.R.China)

机构地区：[1]牡丹江医科大学第一临床医学院,黑龙江牡丹江157011 [2]四川大学华西医院心脏大血管外科,四川大学“医学+材料”中心,成都610041

出　　处：《中国胸心血管外科临床杂志》2025年第1期24-30,共7页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：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(19HXFH029);四川大学华西医院临床研究项目(HX-H2406220);四川省干部保健科研课题(川干研2023-116);四川省中医药管理局中医药科研专项课题(2023MS439);四川大学“医学+材料”中心医工融合创新项目(MCM202306);四川省医学会伤口疾病(泰阁)专项科研课题(2023TG12);四川省科技计划资助(2024NSFSC0565);成都市科技局技术创新研发项目(2024-YF05-00207-SN)。

摘　　要：欧洲心脏病学会与欧洲胸心外科协会近期更新并发布了《2024年ESC心房颤动管理指南》。立足最新循证医学证据,该指南在心房颤动(房颤)诊断标准、AF-CARE治疗原则(AF:房颤,C:合并症和风险因素管理,A:避免卒中和血栓栓塞,R:通过心率和节律控制减轻症状,E:评估和动态重新评估)、合并症和危险因素管理等诸多方面均有更新,尤其是关于房颤外科治疗的相关建议存在较大变化。因此,本文以房颤的外科治疗为线索,旨在解读该指南在AF-CARE治疗原则、房颤诊断标准及房颤外科治疗等方面的更新。The European Society of Cardiology(ESC)and the European Association for Cardio-Thoracic Surgery(EACTS)have recently updated and published the 2024 ESC guidelines for the management of atrial fibrillation.Based on the latest evidences,the guidelines have been updated in many aspects,such as diagnostic criteria for atrial fibrillation,AFCARE treatment principles,comorbidities and risk factor management.In particular,there are significant changes in the recommendations for surgical management of atrial fibrillation in the guidelines.Therefore,this paper aims to interpret the content updates of the guidelines in AF-CARE treatment principles,diagnostic criteria and surgical treatment of atrial fibrillation,especially highlighting the updates and new suggestions about surgical treatment of atrial fibrillation.

关 键 词：心房颤动 外科治疗 诊断 指南解读 

分 类 号：R654.2[医药卫生—外科学]