Fitzgerald John L, Middeldorp Melissa E, Gallagher Celine, Sanders Prashanthan
Centre for Heart Rhythm Disorders, University of Adelaide, Adelaide 5000, Australia.
Department of Cardiology, Royal Adelaide Hospital, Adelaide 5000, Australia.
J Clin Med. 2022 May 9;11(9):2660. doi: 10.3390/jcm11092660.
Management of atrial fibrillation (AF) requires a comprehensive approach due to the limited success of medical or procedural approaches in isolation. Multiple modifiable risk factors contribute to the development and progression of the underlying substrate, with a heightened risk of progression evident with inadequate risk factor management. With increased mortality, stroke, heart failure and healthcare utilisation linked to AF, international guidelines now strongly support risk factor modification as a critical pillar of AF care due to evidence demonstrating the efficacy of this approach. Effective lifestyle management is key to arrest and reverse the progression of AF, in addition to increasing the likelihood of freedom from arrhythmia following catheter ablation.
由于单独的药物或手术治疗方法成功率有限,心房颤动(AF)的管理需要综合方法。多种可改变的风险因素会导致潜在病变的发生和进展,而风险因素管理不当会明显增加进展风险。由于AF与死亡率、中风、心力衰竭及医疗资源利用增加相关,鉴于有证据表明这种方法的有效性,国际指南现在强烈支持将风险因素修正作为AF治疗的关键支柱。有效的生活方式管理是阻止和逆转AF进展的关键,此外还能增加导管消融术后无心律失常的可能性。