Kosinski D, Grubb B P, Wolfe D A, Mayhew H
Department of Medicine, Medical College of Ohio, Toledo 43699, USA.
Postgrad Med. 1998 Jan;103(1):103-6, 109-10. doi: 10.3810/pgm.1998.01.267.
Atrial flutter and atrial fibrillation are common arrhythmias that can be difficult to manage clinically. In many patients, these conditions are refractory to pharmacologic therapy because of drug failure or intolerance. Radiofrequency catheter ablation may be a reasonable alternative in patients with typical atrial flutter. The procedure has a high initial success rate and a low complication rate. However, recurrence after ablation is common, and a second treatment session may be needed. In selected patients with atrial fibrillation, radiofrequency ablation can be useful for rate control. However, its use in curing chronic fibrillation is still experimental. The procedure involves insertion of a pacemaker, anticoagulation therapy is still needed in most patients, and the need for antiarrhythmic medication may not be obviated.
心房扑动和心房颤动是常见的心律失常，临床上可能难以处理。在许多患者中，由于药物治疗失败或不耐受，这些情况对药物治疗无效。对于典型心房扑动患者，射频导管消融可能是一种合理的替代方法。该手术初始成功率高，并发症发生率低。然而，消融术后复发很常见，可能需要进行第二次治疗。在部分心房颤动患者中，射频消融有助于控制心率。然而，其用于治愈慢性房颤仍处于试验阶段。该手术需要植入起搏器，大多数患者仍需要抗凝治疗，而且可能无法避免使用抗心律失常药物。
