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心房扑动:聚焦常见室上性快速心律失常的治疗选择

Atrial flutter: a focus on treatment options for a common supraventricular tachyarrhythmia.

作者信息

Andrew Peter, Montenero Annibale S

机构信息

ATLAS Medical Research Inc., Saint Lazare, Quebec, Canada.

出版信息

J Cardiovasc Med (Hagerstown). 2007 Aug;8(8):558-67. doi: 10.2459/01.JCM.0000281711.89422.d0.

Abstract

Atrial flutter (AFl), a re-entrant atrial tachycardia, is a cardiac rhythm disturbance that arises in the upper chambers of the heart. This usually non-life-threatening condition can be treated by a number of medical intervention strategies, which include electrical cardioversion, pharmacological therapy, and catheter ablation. These options have been available in clinical practice for a number of years. However, catheter ablation, in the form of radiofrequency catheter ablation and cryo catheter ablation, is increasingly utilised as a first-line treatment option for AFl in certain patients. The purpose of this review article is two-fold: first, to briefly present an overview of AFl and the more familiar treatment options for this arrhythmia, and second to provide more in-depth coverage of catheter ablation technologies as a treatment option for patients with AFl. As part of the latter objective, recent clinical studies documenting the use of radiofrequency catheter ablation and cryo catheter ablation for AFl are presented and their results briefly discussed.

摘要

心房扑动(AFl)是一种折返性房性心动过速,是起源于心脏上腔的一种心律失常。这种通常不危及生命的病症可通过多种医学干预策略进行治疗,包括电复律、药物治疗和导管消融。这些治疗方法已在临床实践中应用多年。然而,以射频导管消融和冷冻导管消融形式存在的导管消融,在某些患者中越来越多地被用作AFl的一线治疗选择。这篇综述文章的目的有两个:第一,简要概述AFl以及针对这种心律失常更常见的治疗选择;第二,更深入地介绍导管消融技术作为AFl患者的一种治疗选择。作为后一个目标的一部分,本文展示了近期记录射频导管消融和冷冻导管消融用于AFl治疗的临床研究,并简要讨论了其结果。

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