心房颤动非药物治疗的现状和进展

Current Status and Advances of Atrial Fibrillation Nonpharmacologic Therapies

心房颤动的非药物治疗包括外科手术和导管消融。外科手术向微创外科消融发展,但应用仍较局限。导管消融发展很快,随着对心房颤动发病机制研究的深入和环肺静脉线性消融及心房复杂破碎电位消融的开展,导管消融的成功率提高,并发症减少,有望成为心房颤动的一线治疗手段。

Nonpharmacologic atrial fibrillation therapies include surgery and catheter ablation. Surgical ablation is minimally invasive surgery, but the application is still limited. Catheter ablation, however, has developed very rapidly. The in-depth study of the pathogenesis of atrial fibrillation, the start of circumferential pulmonary vein ablation, and complex fractionated atrial electrograms ablation, the success rate of catheter ablation has increased while the complications have decreased. The use of catheter ablation is expected to become the primary treatment of atrial fibrillation.