摘要
心房颤动是临床中常见的快速型心律失常。阵发性心房颤动的病理生理机制相对单一,消融术式首选肺静脉电隔离术,临床疗效满意。相比之下,持续性心房颤动的发生机制较为复杂,消融术式百花齐放:肺静脉电隔离术及其基础上的复合术式、肾去交感化、复杂心房碎裂电位消融及神经节消融等。大量动物实验及临床研究证实自主神经与心房颤动的发生及维持关系较为密切,现就干预自主神经对心房颤动的影响做一综述。
Atrial fibrillation is a common tachyarrhythmia in clinic.The pathophysiological mechanism of paroxysmal atrial fibrillation is relatively simple,pulmonary vein electrical isolation is the preferred method for ablation,and the clinical efficacy is satisfactory.In contrast,the mechanism of the occurrence of persistent atrial fibrillation is more complicated,and the ablation method shows a state of full bloom:pulmonary vein electrical isolation and its composite surgery,renal decompression,complex atrial fragmentation potential ablation and ganglion plexus ablation.A large number of animal experiments and clinical studies have confirmed that the relationship between autonomic nerves and the occurrence of atrial fibrillation is relatively close.This article reviews the effect of autonomic nerve intervention on atrial fibrillation.
作者
那丞
黄织春
NA Cheng;HUANG Zhichun(Department of Cardiology,The Affiliated Hospital of Inner Mongolia Medical University,Hohhot 010050,Inner Mongolia,China)
出处
《心血管病学进展》
CAS
2021年第1期35-38,共4页
Advances in Cardiovascular Diseases
基金
内蒙古自治区应用技术研究与开发资金计划(201802112)。
关键词
心房颤动
自主神经系统
导管消融
Atrial fibrillation
Autonomic nervous system
Catheter ablation
