Ghanbari Hamid, Schmidt Martin, Machado Christian, Segerson Nathan M, Daccarett Marcos
Division of Cardiac Electrophysiology, Providence Hospital and Medical Center/Wayne State University, Southfield, MI, USA.
Expert Rev Cardiovasc Ther. 2009 Sep;7(9):1091-101. doi: 10.1586/erc.09.96.
Atrial fibrillation remains the most common arrhythmia in the USA and is associated with an increased risk for stroke, congestive heart failure and overall mortality. There has been a tremendous advance in the field of catheter ablation of atrial fibrillation that has resulted in better outcomes for patients. The approach for ablation of atrial fibrillation can be different depending on patients' presentation of paroxysmal or persistent atrial fibrillation. Pulmonary vein isolation remains the cornerstone of any ablation strategy for atrial fibrillation; however, further ablation, end points of the procedure, clinical end points for successful ablation and appropriate follow-up remain controversial. We aim to discuss these different approaches and the major controversies in catheter ablation of atrial fibrillation.
在美国，心房颤动仍然是最常见的心律失常，并且与中风、充血性心力衰竭及总体死亡率增加的风险相关。心房颤动导管消融领域已经取得了巨大进展，为患者带来了更好的治疗效果。根据阵发性或持续性心房颤动患者的表现，心房颤动的消融方法可能有所不同。肺静脉隔离仍然是任何心房颤动消融策略的基石；然而，进一步消融、手术终点、成功消融的临床终点以及适当的随访仍存在争议。我们旨在讨论心房颤动导管消融的这些不同方法及主要争议。
