Elvas L, Gonzaga A, Melo F, Providência L A
Serviço de Cardiologia, Hospitais da Universidade de Coimbra.
Acta Med Port. 1995 Mar;8(3):173-9.
Atrial fibrillation is one of the most common symptomatic sustained arrhythmias seen in clinical practice. Long-term control of heart rate and maintenance of sinus rhythm often require chronic antiarrhythmic therapy. For patients with disabling symptoms of atrial fibrillation that cannot be controlled with pharmacologic therapy, catheter ablation techniques of the atrioventricular junction and surgical procedures aimed at maintaining sinus rhythm have now been effectively used. The efficacy, risks and limitations of pharmacologic and non-pharmacologic therapies are presented in this review article.
心房颤动是临床实践中最常见的有症状的持续性心律失常之一。长期控制心率和维持窦性心律通常需要长期抗心律失常治疗。对于药物治疗无法控制的有失能症状的心房颤动患者，目前已有效应用房室结导管消融技术和旨在维持窦性心律的外科手术。本文综述了药物治疗和非药物治疗的疗效、风险及局限性。
