Fischer Gregory W
Department of Anesthesiology and Cardiothoracic Surgery, Mount Sinai School of Medicine, Mount Sinai Medical Center, New York, NY 10029, USA.
Anesthesiol Clin. 2009 Sep;27(3):417-27, table of contents. doi: 10.1016/j.anclin.2009.07.006.
Atrial fibrillation (AF) remains the most common form of cardiac arrhythmia seen in man, and often requires acute intervention. This article provides an overview of the incidence, prevalence, etiology, and pathophysiology of AF in elderly patients, with special emphasis on the perioperative period. The pharmacologic and nonpharmacologic management strategies available to the anesthesiologist are described. The anesthesiologist must be aware of the causes, consequences, and treatment of elderly patients developing AF during the perioperative period, as well as patients presenting to the operating room with chronic AF.
心房颤动（AF）仍然是人类最常见的心律失常形式，并且常常需要进行紧急干预。本文概述了老年患者AF的发病率、患病率、病因及病理生理学，特别强调围手术期。文中描述了麻醉医生可采用的药物和非药物管理策略。麻醉医生必须了解老年患者在围手术期发生AF的原因、后果及治疗方法，以及患有慢性AF而进入手术室的患者的情况。
