老年患者心房颤动的管理：挑战与解决方案
Managing atrial fibrillation in the very elderly patient: challenges and solutions.
作者信息
Karamichalakis Nikolaos, Letsas Konstantinos P, Vlachos Konstantinos, Georgopoulos Stamatis, Bakalakos Athanasios, Efremidis Michael, Sideris Antonios
机构信息
Laboratory of Cardiac Electrophysiology, "Evangelismos" General Hospital of Athens, Athens, Greece.
出版信息
Vasc Health Risk Manag. 2015 Oct 27;11:555-62. doi: 10.2147/VHRM.S83664. eCollection 2015.
Abstract
Atrial fibrillation (AF) is the most common arrhythmia affecting elderly patients. Management and treatment of AF in this rapidly growing population of older patients involve a comprehensive assessment that includes comorbidities, functional, and social status. The cornerstone in therapy of AF is thromboembolic protection. Anticoagulation therapy has evolved, using conventional or newer medications. Percutaneous left atrial appendage closure is a new invasive procedure evolving as an alternative to systematic anticoagulation therapy. Rate or rhythm control leads to relief in symptoms, fewer hospitalizations, and an improvement in quality of life. Invasive methods, such as catheter ablation, are the new frontier of treatment in maintaining an even sinus rhythm in this particular population.
摘要
心房颤动（AF）是影响老年患者的最常见心律失常。在这一迅速增长的老年患者群体中，房颤的管理和治疗涉及全面评估，包括合并症、功能和社会状况。房颤治疗的基石是血栓栓塞保护。抗凝治疗不断发展，使用传统或新型药物。经皮左心耳封堵术是一种新的侵入性手术，正在发展成为系统性抗凝治疗的替代方法。心率或节律控制可缓解症状、减少住院次数并改善生活质量。侵入性方法，如导管消融术，是维持这一特定人群窦性心律的治疗新前沿。
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