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肺动脉高压中的房性心律失常:发病机制、预后及管理

Atrial Arrhythmias in Pulmonary Hypertension: Pathogenesis, Prognosis and Management.

作者信息

Wanamaker Brett, Cascino Thomas, McLaughlin Vallerie, Oral Hakan, Latchamsetty Rakesh, Siontis Konstantinos C

机构信息

University of MichiganAnn Arbor, MI, USA.

出版信息

Arrhythm Electrophysiol Rev. 2018 Mar;7(1):43-48. doi: 10.15420/aer.2018.3.2.

DOI:10.15420/aer.2018.3.2
PMID:29636972
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5889803/
Abstract

Atrial arrhythmias, including atrial fibrillation and atrial flutter, are common in patients with pulmonary hypertension and are closely associated with clinical decompensation and poor clinical outcomes. The mechanisms of arrhythmogenesis and subsequent clinical decompensation are reviewed. Practical implications and current evidence for the management of atrial arrhythmias in patients with pulmonary hypertension are summarised.

摘要

房性心律失常,包括心房颤动和心房扑动,在肺动脉高压患者中很常见,并且与临床失代偿及不良临床结局密切相关。本文综述了心律失常发生机制及随后的临床失代偿情况。总结了肺动脉高压患者房性心律失常管理的实际意义和当前证据。

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本文引用的文献

1
Radiofrequency Ablation Versus Antiarrhythmic Drug Therapy for Atrial Fibrillation: Meta-Analysis of Quality of Life, Morbidity, and Mortality.射频消融与抗心律失常药物治疗心房颤动:生活质量、发病率和死亡率的Meta分析
JACC Clin Electrophysiol. 2016 Apr;2(2):170-180. doi: 10.1016/j.jacep.2015.10.003. Epub 2015 Nov 10.
2
Atrial Substrate and Triggers of Paroxysmal Atrial Fibrillation in Patients With Obstructive Sleep Apnea.阻塞性睡眠呼吸暂停患者阵发性心房颤动的心房基质与触发因素
Circ Arrhythm Electrophysiol. 2017 Nov;10(11). doi: 10.1161/CIRCEP.117.005407.
3
Atrial Fibrillation in Heart Failure With Preserved, Mid-Range, and Reduced Ejection Fraction.射血分数保留、中间范围和降低的心衰伴发的心房颤动。
JACC Heart Fail. 2017 Aug;5(8):565-574. doi: 10.1016/j.jchf.2017.05.001. Epub 2017 Jul 12.
4
Direct Oral Anticoagulants in Patients With Atrial Fibrillation and Valvular Heart Disease Other Than Significant Mitral Stenosis and Mechanical Valves: A Meta-Analysis.除重度二尖瓣狭窄和机械瓣膜外的心房颤动合并瓣膜性心脏病患者使用直接口服抗凝剂的荟萃分析。
Circulation. 2017 Feb 14;135(7):714-716. doi: 10.1161/CIRCULATIONAHA.116.026793.
5
Contemporary management of patients undergoing atrial fibrillation ablation: in-hospital and 1-year follow-up findings from the ESC-EHRA atrial fibrillation ablation long-term registry.当代心房颤动消融患者的管理:ESC-EHRA 心房颤动消融长期注册研究的住院期间和 1 年随访结果。
Eur Heart J. 2017 May 1;38(17):1303-1316. doi: 10.1093/eurheartj/ehw564.
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PLoS One. 2016 Nov 18;11(11):e0166463. doi: 10.1371/journal.pone.0166463. eCollection 2016.
7
Evaluation of the prognostic value of electrocardiography parameters and heart rhythm in patients with pulmonary hypertension.评估心电图参数和心律对肺动脉高压患者的预后价值。
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Heart Rate Variability and Arrhythmic Burden in Pulmonary Hypertension.肺动脉高压中的心率变异性与心律失常负荷
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9
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