[心房动的手术治疗]
Eske Sindby1, Carsten S Simonsen2, Lars Riber3
1Hjerte-, Lunge-, Karkirurgi, Aarhus Universitetshospital.
Ugeskrift for laeger
|January 23, 2026
概括
心房动 (AFIB) 影响许多患者,手术切除显示高成功率和耐久性. 对于那些需要心脏手术的人来说,切除提供了预后益处,并且是指导方针推的.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 电子生理学 电子生理学
背景情况:
- 在全球范围内,心房动 (AFIB) 的患病率正在增加.
- 在AFIB的病理生理学仍然不完全理解.
- AFIB对患者健康和医疗保健系统产生重大影响.
研究的目的:
- 审查当前对心房的理解和管理.
- 为了突出 AFIB 手术切除的疗效和益处.
- 为了为有关AFIB治疗的临床决策提供信息.
主要方法:
- 对心房动病理生理学和治疗选择的文献综述.
- 对最小侵入性外科切除结果的分析.
- 在接受心脏手术的患者中检查AFIB管理.
主要成果:
- 最少侵入性的手术切除证明了高的成功率和长期的耐用性.
- 手术切除在同时进行心脏手术的患者中提供了预后益处.
- 在当前的心脏外科手术指南中建议进行AFIB切除.
结论:
- 手术切除是选择心房动患者的安全有效治疗方法.
- 考虑转诊胸部外科中心,以治疗常规治疗的症状性AFIB耐药.
- 对AFIB病理生理学的进一步研究是有必要的.
相关概念视频
Amyloid Fibrils
11.7K
Amyloid fibrils are aggregates of misfolded proteins. Under most circumstances, misfolded proteins are either refolded by chaperone proteins or degraded by the proteasome. However, in the case of a mutation or a disease, these proteins can accumulate to form large clusters and often further assemble to form elongated fibers, called fibrils.
Amyloid deposits were observed as early as 1639 in the liver and the spleen. In 1854, Rudolph Virchow performed iodine staining,...
Amyloid deposits were observed as early as 1639 in the liver and the spleen. In 1854, Rudolph Virchow performed iodine staining,...
11.7K
Amyloid Fibrils
6.4K
6.4K
Fibril-associated Collagen
3.3K
Fibril-associated collagens are a type of collagens present in the extracellular matrix with interrupted triple helices or FACIT (Fibril-associated collagens interrupted triple-helices). FACIT help connect and attach the collagen fibrils with each other as well as with other proteins of the extracellular matrix.
For example, the type II collagen fibrils in cartilage have covalently bound type IX fibril-associated collagens at regular intervals. Other types of fibril-associated collagens are...
For example, the type II collagen fibrils in cartilage have covalently bound type IX fibril-associated collagens at regular intervals. Other types of fibril-associated collagens are...
3.3K
ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias
492
Arrhythmia is a condition characterized by an irregular heart rhythm, with ECG changes that differ based on its origin and nature. The types of arrhythmias discussed below include atrial, junctional, and ventricular arrhythmias.Atrial ArrhythmiasPremature Atrial Complexes (PACs): PACs are early atrial beats caused by stress, caffeine, alcohol, electrolyte imbalances, hypoxia, hyperthyroidism, or certain medications (e.g., bronchodilators and decongestants). The ECG shows early P waves with an...
492
Kidney Transplant II: Surgical Procedure
364
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
364
Parkinson's Disease: Treatment
1.0K
Neurodegenerative disorders, such as Parkinson's Disease (PD), involve the gradual and irreversible destruction of neurons in particular brain areas. These disorders exhibit standard features like proteinopathies, selective vulnerability of some neurons, and an interaction of intrinsic properties, genetics, and environmental influences in neural injury.
Parkinson's Disease is primarily a result of the loss of dopaminergic neurons in the substantia nigra pars compacta. The cornerstone of...
Parkinson's Disease is primarily a result of the loss of dopaminergic neurons in the substantia nigra pars compacta. The cornerstone of...
1.0K


