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遗传性心脏离子通道病中的心房颤动:从机制到治疗。

Atrial fibrillation in inherited cardiac channelopathies: From mechanisms to management.

机构信息

Section of Cardiac Electrophysiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.

Cardiovascular Research Program, Lankenau Institute for Medical Research, Wynnewood, Pennsylvania.

出版信息

Heart Rhythm. 2016 Sep;13(9):1878-84. doi: 10.1016/j.hrthm.2016.06.008. Epub 2016 Jun 9.

Abstract

Atrial fibrillation (AF) is prevalent in cardiac channelopathies and may be the presenting feature in some patients. The pathogenesis is related to the primary ion channel dysfunction in atrial myocytes that affects atrial conduction or repolarization. The development of AF is associated with adverse outcomes, and its management is challenging in these patients. In this article we review the current information on the prevalence, risk factors, pathophysiology, and treatment of AF in specific cardiac channelopathies.

摘要

心房颤动(AF)在心脏通道病中很常见,在某些患者中可能是其首发症状。其发病机制与影响心房传导或复极化的心房肌细胞主要离子通道功能障碍有关。AF 的发展与不良结局相关,在这些患者中其管理具有挑战性。本文我们综述了特定心脏通道病中 AF 的患病率、危险因素、病理生理学和治疗的现有信息。

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