实用心电学杂志2024，Vol.33Issue(2)：158-165,8.DOI:10.13308/j.issn.2095-9354.2024.02.011
对心房颤动以外的快速性房性心律失常的认识
Understandings of tachyarrhythmia other than atrial fibrillation
摘要
Abstract
In the past,it has been generally accepted that tachyarrhythmias other than atrial fibrillation(AF)such as atrial premature beats(APB)and atrial tachycardia(AT)are not of great clinical significance.However,with the development of detection methods in recent years,more and more clinical studies have found that the atrial ectopic activities of APB and AT except for AF are associated with the risk of stroke,and may further contribute to increased mortality.Meanwhile,a positive association has also been revealed between the frequency of this kind of atrial yarrhythmias,and incidence of adverse events such as AF and ischemic stroke,which may be mediated by subclinical atrial cardiomyopathy.There is still no clear definition of the clinical threshold for this type of arrhythmia and its excessive supraventricular ectopic activities at present.Therefore,it is essential to make regular detection and management of tachyarrhythmia other than AF by means such as ambulatory electrocardiography and by following standardized process.This article describes the relationship between such atrial arrhythmias and cardiogenic stroke,and introduces the role of detecting such arrhythmias in the assessment of cardiogenic stroke.关键词
房性早搏/房性心动过速/心房心肌病/心源性脑卒中Key words
atrial premature beat/atrial tachycardia/atrial cardiomyopathy/cardiogenic stroke分类
医药卫生引用本文复制引用
廖欢燕,姚焰,郭军,程思源,韩宇臣,李琰,李峰,汪雪松,牛海涛,卢喜烈,李自成..对心房颤动以外的快速性房性心律失常的认识[J].实用心电学杂志,2024,33(2):158-165,8.基金项目
暨南大学附属第一医院临床前沿新技术立项项目(JNU1AF-CFTP-2022-a01218) （JNU1AF-CFTP-2022-a01218）
广州市科技计划项目(重点研发)(202103000010) （重点研发）
广州市无菌动物和微生物应用重点实验室项目(202201020381) （202201020381）
