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心房颤动伴长间歇的治疗策略:共识与争议

王潇睿 郑若瑶 孙凤志 张树龙

中国全科医学2024,Vol.27Issue(27):3331-3335,5.
中国全科医学2024,Vol.27Issue(27):3331-3335,5.DOI:10.12114/j.issn.1007-9572.2023.0826

心房颤动伴长间歇的治疗策略:共识与争议

Treatment Strategies for Atrial Fibrillation with Long Interval:Consensus and Controversy

王潇睿 1郑若瑶 2孙凤志 1张树龙1

作者信息

  • 1. 116000 辽宁省大连市,大连大学附属中山医院循环科
  • 2. 061002 河北省沧州市人民医院
  • 折叠

摘要

Abstract

Atrial fibrillation(AF)is the most common arrhythmia in cardiovascular disease,and it often coexists and interacts with sick sinus syndrome.In the past,pacemaker implantation combined with antiarrhythmic drugs was preferred for symptomatic atrial fibrillation with long interval treatment.However,in recent years,more and more studies have shown that compared with pacemaker implantation,radiofrequency ablation can reduce the hospitalization rate related to tachycardia,effectively control atrial fibrillation,and improve patient prognosis and hospitalization rate of heart failure.However,some patients present intrinsic sinus node dysfunction(SND),and SND may progress and worsen in some patients with atrial fibrillation.Therefore,the first-line treatment strategy for patients with atrial fibrillation with long interval remains controversial.This article reviews the selection of long-term intermittent treatment strategies for atrial fibrillation.

关键词

心房颤动/病窦综合征/窦性停搏,心脏/心脏起搏器,人工/消融技术

Key words

Atrial fibrillation/Sick sinus syndrome/Sinus arrest,cardiac/Pacemaker,artificial/Ablation techniques

分类

医药卫生

引用本文复制引用

王潇睿,郑若瑶,孙凤志,张树龙..心房颤动伴长间歇的治疗策略:共识与争议[J].中国全科医学,2024,27(27):3331-3335,5.

基金项目

辽宁省自然科学基金资助项目(LJKZ1191) (LJKZ1191)

中国全科医学

OA北大核心CSTPCD

1007-9572

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