在心房的节律控制
Jonathan P Piccini1, Laurent Fauchier2
1Duke Center for Atrial Fibrillation, Clinical Cardiac Electrophysiology, Duke University Medical Center, Durham, NC, USA.
Lancet (London, England)
|August 26, 2016
概括
恢复正常的心律 (节律控制) 可以改善心房患者的生活质量. 对于那些没有对药物反应的复发性心房动患者来说, 导管切除是一种有效的选择.
科学领域:
- 心脏病学
- 电生理学
背景情况:
- 心房动通常会导致严重的症状影响生活质量,即使心室节拍控制.
- 恢复和维持正常的鼻节律 (节律控制) 对于缓解症状至关重要.
研究的目的:
- 概述在心房动中追求节律控制的考虑因素.
- 审查维持鼻腔节律的治疗策略,包括抗失节药物和导管切除.
主要方法:
- 节律控制的决定是基于症状,心房的类型,并发症和抗凝状态.
- 选择抗节律药物时考虑心脏结构,心力衰竭,心电图,功能和并发症.
- 对于对药物治疗不耐药的复发性心房的患者,应评估导管切除.
主要成果:
- 抗节律药物通常是控制节律的第一线治疗.
- 导管切除可显著减少复发性心房动和症状,并改善生活质量.
- 即使经过先进的切除技术,心房的复发也是可能的.
结论:
- 控制心律是改善心房症状患者生活质量的关键策略.
- 当药物治疗失败时,导管切除是一种有效的干预措施.
- 废除技术的持续进步旨在进一步提高长期的成功率.
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