Jilek Clemens, Lewalter Thorsten
Peter-Osypka-Herzzentrum München, Kliniken Dr. Müller München, Am Isarkanal 36, 81379, München, Deutschland.
Herzschrittmacherther Elektrophysiol. 2017 Mar;28(1):39-47. doi: 10.1007/s00399-017-0484-4. Epub 2017 Jan 30.
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.
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。