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心房颤动的多学科管理策略

Multidisciplinary management strategies for atrial fibrillation.

作者信息

Yue Xindi, Zhou Ling, Li Yahui, Zhao Chunxia

机构信息

Division of Cardiology, Hubei Key Laboratory of Genetics and Molecular Mechanisms of Cardiological Disorders, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.

Division of Cardiology, Hubei Key Laboratory of Genetics and Molecular Mechanisms of Cardiological Disorders, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.

出版信息

Curr Probl Cardiol. 2024 Jun;49(6):102514. doi: 10.1016/j.cpcardiol.2024.102514. Epub 2024 Mar 20.

Abstract

There has been a significant increase in the prevalence of atrial fibrillation (AF) over the past 30 years. Pulmonary vein isolation (PVI) is an effective treatment for AF, but research investigations have shown that AF recurrence still occurs in a significant number of patients after ablation. Heart rhythm outcomes following catheter ablation are correlated with numerous clinical factors, and researchers developed predictive models by integrating risk factors to predict the risk of recurrence of atrial fibrillation. The purpose of this article is to outline the risk scores for predicting cardiac rhythm outcomes after PVI and to discuss the modifiable factors that increase the risk of recurrence of AF, with the hope of further improving catheter ablation efficacy through preoperative identification of high-risk populations and postoperative management of modifiable risk factors.

摘要

在过去30年里,心房颤动(AF)的患病率显著增加。肺静脉隔离(PVI)是治疗AF的有效方法,但研究调查表明,大量患者在消融术后仍会出现AF复发。导管消融后的心律结果与众多临床因素相关,研究人员通过整合风险因素开发了预测模型,以预测心房颤动复发的风险。本文的目的是概述预测PVI后心律结果的风险评分,并讨论增加AF复发风险的可改变因素,希望通过术前识别高危人群和术后管理可改变的风险因素,进一步提高导管消融的疗效。

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