Prystowsky Eric N, Jaïs Pierre, Kowey Peter, Nattel Stanley, Ruskin Jeremy N
The Care Group, Indianapolis, Indiana 46260, USA.
J Cardiovasc Electrophysiol. 2008 Feb;19 Suppl 1:S1-12; quiz S13-5. doi: 10.1111/j.1540-8167.2007.01053.x.
Atrial fibrillation (AF) is the most common outpatient arrhythmia. The recent ACC/AHA/ESC guidelines outline a variety of approaches to the management of AF, but their implementation into clinical practice requires multi-faceted patient evaluations and assessments for optimizing patient care. Using a case-based approach, issues such as rate versus rhythm control, anticoagulation, cardioversion, pharmacological and catheter ablation for maintenance of sinus rhythm, and the pathophysiology of AF are discussed. These data were originally presented at a satellite symposium titled Case Studies with the Experts: Management Decisions in AF, held on May 10, 2007, during the annual Heart Rhythm Society meeting.
心房颤动（AF）是最常见的门诊心律失常。近期美国心脏病学会（ACC）/美国心脏协会（AHA）/欧洲心脏病学会（ESC）指南概述了多种心房颤动的管理方法，但将这些方法应用于临床实践需要进行多方面的患者评估，以优化患者护理。本文采用基于病例的方法，讨论了诸如心率控制与节律控制、抗凝、复律、维持窦性心律的药物及导管消融以及心房颤动的病理生理学等问题。这些数据最初在2007年5月10日于心律学会年会期间举行的一场名为“与专家的病例研究：心房颤动的管理决策”的卫星研讨会上发表。
