Miyagawa Shigeru, Sakaguchi Taichi, Nishi Hiroyuki, Yoshikawa Yasushi, Fukushima Satsuki, Saito Shunsuke, Sawa Yoshiki
Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, 2-2 Yamada-oka, Suita, Osaka 565-0871, Japan.
ISRN Cardiol. 2011;2011:958189. doi: 10.5402/2011/958189. Epub 2011 Aug 1.
Atrial fibrillation (AF) is the most common arrhythmia in clinical settings (Fuster et al., 2001), and it is often associated with congestive heart diseases (Issac et al., 2007). Many studies in both laboratory and clinical settings have sought to analyze the mechanisms of AF, develop treatments based on these mechanisms, and examine atrial remodeling in chronic AF. The aim of this paper is to analyze recent findings regarding the atrial remodeling that occurs in AF. In particular, we will describe the electrical and structural changes that involve atrial myocytes and the extracellular matrix. We will also describe the general classification and basic pathophysiology of AF and its surgical treatments.
心房颤动(AF)是临床环境中最常见的心律失常(福斯特等人,2001年),并且它常与充血性心脏病相关(艾萨克等人,2007年)。实验室和临床环境中的许多研究都试图分析房颤的机制,基于这些机制开发治疗方法,并研究慢性房颤中的心房重构。本文的目的是分析房颤中发生的心房重构的最新研究结果。特别是,我们将描述涉及心房肌细胞和细胞外基质的电和结构变化。我们还将描述房颤的一般分类、基本病理生理学及其外科治疗方法。