Liang Jackson J, Callans David J
Cardiovascular Division, Electrophysiology Section, Hospital of the University of Pennsylvania Philadelphia, PA, USA.
Card Fail Rev. 2018 May;4(1):33-37. doi: 10.15420/cfr.2018:3:1.
AF and heart failure with reduced ejection fraction (HFrEF) frequently coexist. Catheter ablation is an increasingly utilised treatment strategy for patients with AF and can be safely performed and is effective in achieving sinus rhythm for patients with HFrEF. Successful ablation may result in improved LV function, clinical heart failure status, quality of life and possibly even mortality. This review summarises the literature analysing efficacy, safety and outcomes of AF ablation for patients with HFrEF.
心房颤动(AF)与射血分数降低的心力衰竭(HFrEF)常同时存在。导管消融术是治疗AF患者越来越常用的治疗策略,对于HFrEF患者可以安全实施,且在实现窦性心律方面有效。成功的消融可能会改善左心室功能、临床心力衰竭状态、生活质量,甚至可能降低死亡率。本综述总结了分析HFrEF患者AF消融疗效、安全性和结果的文献。