Intermountain Heart Institute, Department of Cardiology, Intermountain Medical Center, Murray, UT, USA.
Clin Geriatr Med. 2012 Nov;28(4):649-63. doi: 10.1016/j.cger.2012.07.004.
As elderly patients present significant challenges for long-term pharmacologic management, nonpharmacologic treatment of atrial fibrillation (AF) will continue to be a vital option in improving the quality of life and function of these patients. This review discusses nonpharmacologic approaches for AF in the elderly. Observational studies of catheter ablation suggest similar long-term efficacy and safety rates in elderly and younger groups. Minimally invasive surgical approaches have distinct advantages in certain populations. Further research, adequately powered to assess age-related differences, is needed to confirm the findings of observational studies of elderly patients who have undergone nonpharmacologic approaches to rhythm control.
由于老年患者在长期药物管理方面存在重大挑战，因此非药物治疗心房颤动 (AF) 将继续成为改善这些患者生活质量和功能的重要选择。本综述讨论了老年人群中 AF 的非药物治疗方法。导管消融的观察性研究表明，在老年组和年轻组中，长期疗效和安全性相似。微创外科方法在某些人群中有明显优势。需要进一步的研究，有足够的能力评估与年龄相关的差异，以证实对接受非药物节律控制方法的老年患者进行的观察性研究的结果。
