Suppr超能文献

[老年人心房颤动的消融治疗]

[Ablation for atrial fibrillation in the elderly].

作者信息

Jilek Clemens, Lewalter Thorsten

机构信息

Peter-Osypka-Herzzentrum München, Kliniken Dr. Müller München, Am Isarkanal 36, 81379, München, Deutschland.

出版信息

Herzschrittmacherther Elektrophysiol. 2017 Mar;28(1):39-47. doi: 10.1007/s00399-017-0484-4. Epub 2017 Jan 30.

Abstract

Atrial fibrillation is mainly an arrhythmia among the elderly. The current ESC guideline determines that there is no justification to deny atrial fibrillation ablation to any age group; however, the guideline does not provide specific scientific data. Thus, the goal of this article is to summarize the data on efficacy and safety of atrial fibrillation ablation among elderly people and give treatment recommendations: (1) The success of atrial fibrillation ablation is the same between elderly and younger patients. (2) In cohort studies there was a trend to higher stroke rates among elderly people. (3) Negative predictors for stroke are an age >80 years, heart failure, stroke in history, or/and CHADS-VASc score ≥6.

摘要

心房颤动主要是老年人中的一种心律失常。当前的欧洲心脏病学会(ESC)指南确定,没有理由拒绝为任何年龄组的患者进行心房颤动消融治疗;然而,该指南并未提供具体的科学数据。因此,本文的目的是总结老年人心房颤动消融治疗的有效性和安全性数据,并给出治疗建议:(1)老年人和年轻患者心房颤动消融的成功率相同。(2)在队列研究中,老年人中风发生率有升高趋势。(3)中风的阴性预测因素为年龄>80岁、心力衰竭、既往有中风史或/和CHADS-VASc评分≥6。

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验