[心房颤动：最常见的心律失常]

[Atrial fibrillation: the most common arrhythmia].

作者信息

Le Heuzey Jean-Yves, Otmani Akli, Marijon Eloi, Waintraub Xavier, Lepillier Antoine, Chachoua Karim, Lavergne Thomas, Pornin Maurice

机构信息

Service de cardiologie A, Hôpital européen Georges Pompidou, F-75015 Paris, France.

出版信息

Presse Med. 2008 May;37(5 Pt 2):821-6. doi: 10.1016/j.lpm.2007.09.019. Epub 2008 Feb 6.

DOI:10.1016/j.lpm.2007.09.019

PMID:18258408

Abstract

The incidence of atrial fibrillation increases rapidly with population age. Atrial fibrillation essentially presents a problem of long-term management. Strategies of rhythm or rate control should be considered on a case-by-case basis for each individual. Anticoagulation treatment is indicated in most cases. Radiofrequency ablation by pulmonary vein isolation is an unquestionably innovative treatment but is reserved for selected patients.

摘要

心房颤动的发病率随人群年龄迅速增加。心房颤动本质上是一个长期管理的问题。应针对每个个体逐案考虑节律控制或心率控制策略。大多数情况下都需要进行抗凝治疗。通过肺静脉隔离进行射频消融无疑是一种创新治疗方法，但仅适用于选定的患者。