Tan Alex Y, Chen Peng-Sheng, Chen Lan S, Fishbein Michael C
Division of Cardiology, Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Heart Rhythm. 2007 Mar;4(3 Suppl):S57-60. doi: 10.1016/j.hrthm.2006.12.011. Epub 2006 Dec 15.
Rapid repetitive activities arising from pulmonary veins may initiate atrial fibrillation. The basis of these rapid repetitive activities remains unclear, but recent evidence suggests that the autonomic nervous system plays an important role in their formation. Pulmonary veins and the adjoining left atrium are highly innervated structures. This review summarizes recent developments in the understanding of the anatomy of autonomic nerves in and around pulmonary veins and their implications for atrial fibrillation.
源自肺静脉的快速重复性活动可能引发心房颤动。这些快速重复性活动的基础尚不清楚,但最近的证据表明自主神经系统在其形成过程中起重要作用。肺静脉和相邻的左心房是高度神经支配的结构。本综述总结了对肺静脉及其周围自主神经解剖学理解的最新进展及其对心房颤动的影响。