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老年人心房颤动的消融治疗：当前证据与发展趋势

Ablation of Atrial Fibrillation in the Elderly: Current Evidence and Evolving Trends.

作者信息

Kapa Suraj, Bala Rupa

机构信息

Cardiovascular Division, Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA USA.

出版信息

J Atr Fibrillation. 2011 Jul 15;4(2):341. doi: 10.4022/jafib.341. eCollection 2011 Jul-Aug.

DOI:10.4022/jafib.341
PMID:28496693
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5153048/
Abstract

Management of atrial fibrillation in the elderly presents unique challenges, including deciding upon the best treatment strategy: rate control versus rhythm control. The decision to pursue one treatment strategy over another is based on understanding the underlying disorder: symptomatology from atrial fibrillation itself versus symptoms due to a rapid ventricular response from atrial fibrillation. The ablation strategies for the treatment of atrial fibrillation include atrioventricular junction ablation and pulmonary vein isolation. This review discusses the data on ablation of atrial fibrillation in the elderly, with an emphasis on issues regarding safety and efficacy in this population.

摘要

老年人心房颤动的管理面临着独特的挑战，包括确定最佳治疗策略：心率控制与节律控制。选择一种治疗策略而非另一种的决定基于对潜在病症的理解：心房颤动本身的症状与心房颤动导致的快速心室反应引起的症状。心房颤动的消融策略包括房室结消融和肺静脉隔离。本综述讨论了老年人心房颤动消融的数据，重点关注该人群中有关安全性和有效性的问题。

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本文引用的文献

1
Is AF Ablation Cost Effective?
J Atr Fibrillation. 2010 Aug 23;3(2):286. doi: 10.4022/jafib.286. eCollection 2010 Aug-Sep.
2
Atrial fibrillation and atrial fibrosis.
J Cardiovasc Pharmacol. 2011 Jun;57(6):625-9. doi: 10.1097/FJC.0b013e3182073c78.
3
Catheter ablation of atrial fibrillation in the elderly.
Curr Opin Cardiol. 2011 Jan;26(1):25-9. doi: 10.1097/HCO.0b013e3283413978.
4
Warfarin discontinuation after starting warfarin for atrial fibrillation.
Circ Cardiovasc Qual Outcomes. 2010 Nov;3(6):624-31. doi: 10.1161/CIRCOUTCOMES.110.937680. Epub 2010 Oct 19.
5
Improvements in symptoms and quality of life in patients with paroxysmal atrial fibrillation treated with radiofrequency catheter ablation versus antiarrhythmic drugs.
Circ Cardiovasc Qual Outcomes. 2010 Nov;3(6):615-23. doi: 10.1161/CIRCOUTCOMES.110.957563. Epub 2010 Oct 12.
6
Comparison of rhythm restoration strategies in paroxysmal atrial fibrillation.
Expert Rev Cardiovasc Ther. 2010 Jul;8(7):903-6. doi: 10.1586/erc.10.66.
7
Advances in cardiac pacing: beyond the transvenous right ventricular apical lead.
Cardiovasc Ther. 2010 Dec;28(6):369-79. doi: 10.1111/j.1755-5922.2010.00157.x.
8
Catheter ablation treatment for paroxysmal atrial fibrillation results in a longer time to treatment failure than anti-arrhythmic drugs and improves quality of life.
Evid Based Med. 2010 Jun;15(3):88-9. doi: 10.1136/ebm1072.
9
Long-term quality of life after ablation of atrial fibrillation the impact of recurrence, symptom relief, and placebo effect.
J Am Coll Cardiol. 2010 May 25;55(21):2308-16. doi: 10.1016/j.jacc.2010.01.040.
10
Comparison of antiarrhythmic drug therapy and radiofrequency catheter ablation in patients with paroxysmal atrial fibrillation: a randomized controlled trial.
JAMA. 2010 Jan 27;303(4):333-40. doi: 10.1001/jama.2009.2029.

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