Leonelli Fabio M, Locati Emanuela T, Bagliani Giuseppe, De Ponti Roberto, Padeletti Luigi, Cipolletta Laura, Capucci Alessandro
Cardiology Department, James A. Haley Veterans' Hospital, Cardiology Department University South Florida, Tampa, FL, USA.
Electrophysiology Unit, Cardiovascular Department, Niguarda Hospital, Milan, Italy.
Card Electrophysiol Clin. 2018 Jun;10(2):299-316. doi: 10.1016/j.ccep.2018.02.015.
The common arrhythmia atrial fibrillation (AF) is incompletely understood. The mechanism of initiation and the perpetuation of AF remain speculative. This article summarizes current knowledge of the complex relationship between arrhythmias triggering AF and their long-term effects on atrial tissue, leading to perpetuation of tachycardia. It focuses on the role of the electrocardiogram (ECG) from AF diagnosis to identification of sinus P wave abnormalities predicting future occurrences. The role of ambulatory ECG recordings in managing AF and the use of frequency analysis determining degree of organization and identification of AF triggers are discussed.
常见的心律失常——心房颤动（AF）尚未被完全理解。房颤的起始机制和持续存在仍具有推测性。本文总结了目前关于引发房颤的心律失常与其对心房组织的长期影响之间复杂关系的知识，这种影响会导致心动过速的持续。它重点关注心电图（ECG）在房颤诊断至识别预测未来发作的窦性P波异常方面的作用。还讨论了动态心电图记录在房颤管理中的作用以及使用频率分析确定房颤的组织程度和识别房颤触发因素。
