心房颤动治疗进展

Progresses in the treatment of atrial fibrillation

心房颤动(简称房颤)是最常见的心律失常之一,在人群中患病率高。房颤不但引起心衰,导致栓塞和中风,而且明显增加致残率和致死率,严重危害人们的健康。因此房颤的预防和治疗一直备受关注。房颤的治疗包括上游治疗、急性房颤发作的治疗、抗凝治疗、心室率控制及节律控制等多层面治疗。近年来房颤的治疗取得了很大进展,已逐步形成患者参与的多学科房颤团队共同合作的综合管理模式。本文就心房颤动的治疗现状及进展做一综述。

Atrial fibrillation（AF） is one of the most common arrhythmias,whose prevalence is high in the population.AF not only causes heart failure,leads to systemic embolism and stroke,but also significantly increases morbidity and mortality and seriously impacts on people′s health.Therefore,prevention and treatment of AF have been widely concerned.Treatment of AF includes upstream treatment,treatment of acute AF,anticoagulant therapy,rate control,and rhythm control.In recent years,treatment of AF has had substantial developments and AF management has gradually formed an integrated management mode：patients and multidisciplinary AF medical teams participate together in the management.This review aims to discuss the current treatment status and progress of the treatment of AF.