起搏器在心房颤动患者管理中的作用。

The role of pacemakers in the management of patients with atrial fibrillation.

作者信息

Kalahasty Gautham, Ellenbogen Kenneth

机构信息

Division of Cardiology, Department of Internal Medicine, Virginia Commonwealth University, 1200 East Marshall Street, Richmond, VA 23298, USA.

出版信息

Med Clin North Am. 2008 Jan;92(1):161-78, xi-xii. doi: 10.1016/j.mcna.2007.09.003.

DOI:10.1016/j.mcna.2007.09.003

PMID:18061003

Abstract

Pacemakers have an important role in the major strategies for the management of atrial fibrillation, rate control and rhythm control. Of all the current non-pharmacologic therapies for atrial fibrillation, the use of pacemakers impacts the largest number of patients. Pacemakers are used to facilitate medical management of atrial fibrillation with rate control agents and anti-arrhythmic drugs. Atrioventricular junction ablation in conjunction with pacemaker implantation can be an effective therapy for controlling a rapid ventricular rate during atrial fibrillation. The minimization of right ventricular apical pacing in patients with paroxysmal atrial fibrillation is an important objective. Cardiac resynchronization therapy devices are likely to be beneficial in select patients with chronic atrial fibrillation.

摘要

起搏器在心房颤动管理的主要策略（心率控制和节律控制）中发挥着重要作用。在目前所有用于心房颤动的非药物治疗方法中，起搏器的使用涉及的患者数量最多。起搏器用于辅助使用心率控制药物和抗心律失常药物对心房颤动进行药物管理。房室结消融联合起搏器植入可作为控制心房颤动时快速心室率的有效治疗方法。尽量减少阵发性心房颤动患者的右心室心尖部起搏是一个重要目标。心脏再同步治疗设备可能对某些慢性心房颤动患者有益。