高血压合并心律失常危害与诊治近况

Hypertension with arrhythmia:hazard,current diagnosis and treatments

高血压可引起心肌肥厚,继而左房、左室扩大,导致舒张功能减退,易引起各种心律失常、心力衰竭甚至猝死。高血压患者发生心律失常的机制尚未清楚阐明。有效降压和逆转心脏重塑是治疗高血压伴心律失常的基础。高血压对于心房颤动的发生和转归起着重要作用。

Hypertension may cause left atrial and ventricular enlargement due to myocardial hypertrophy, which further results in systolic and diastolic dysfunction, and predisposes cardiac arrhythmia, heart failure or even sudden death. The mechanism by which cardiac arrhythmia is triggered in patients with hypertension remains unclear. Effective anti-hypertensive treatment and regression of cardiac remodeling are the basis of therapeutic strategies for hypertension complicated with cardiac arrhythmia. Hypertension plays a critical role in the development and prognosis of atrial fibrillation.