摘要
心房颤动(房颤)是最常见的持续性心律失常,房颤的非药物治疗近年来发展迅速。迷宫手术是最早的房颤非药物治疗方法之一,被称为外科治疗房颤的金标准。随着微创外科的发展,胸腔镜辅助下心外膜肺静脉隔离成为外科治疗房颤的新方向。内科导管消融房颤具有里程碑意义,多项随机对照证实导管消融显著优于抗心律失常药物,严重并发症发生率不高,并可以改善预后。植入起搏器等装置治疗房颤其疗效不肯定,目前并不推荐。
Atrial fibrillation（AF） is the most common arrhythmia. Non-pharmaceutical therapy for AF has been developed recently. Maze surgery, the gold standard surgery for AF,is one of the earliest non-pharmaceutical therapies. Vedio-assistant thoraeoscopic bipolar radiofrequency epicardial pulmonary vein isolation is the new trend of the surgery for AF. Catheter ablation of AF,the so-called cornerstone of nonpharmaceutical therapy for AF,has been carried out all over the world. The efficacy and safety of catheter ablation was proved by several randomized studies. It is also ＇shown that catheter ablation improved the prognosis of AF.Finally it is not recommended to implant device to cure A F, for the sake of the less efficacy.
出处
《中国医疗设备》
2009年第5期1-4,共4页
China Medical Devices
关键词
心房颤动
非药物治疗
迷宫手术
微创
导管消融
起搏器
atrial fibrillation （AF）
non-pharmaceutical therapy
maze surgery
minimally invasive
eatheter ablation
pacemaker
