起搏器植入对房颤的影响及治疗概况

The effect of pacemaker on atrial fibrillation and its treatment

房颤是临床常见心律失常的一种,可引起血栓栓塞、脑卒中等严重并发症,也可诱发或加重心力衰竭,因此,早期诊断和预防房颤尤为重要。临床工作中,主要依靠患者的症状、体征以及常规心电图或24h动态心电图来发现及诊断房颤。随着起搏器植入患者的增多,起搏器为诊断及治疗房颤提供了条件。本文综述了起搏器对房颤的诊断,不同类型起搏对房颤的影响,利用起搏器治疗房颤的概况,以期对临床治疗起指导作用。

Atrial fibrillation is a common type of arrhythmia that can increase the risk of stroke and thrombosis embolism, and lead to heart failure, therefore, early diagnosis and prevention of atrial fibrillation are particularly important.Atrial fibrillation can be diagnosed by the clinical symptoms and signs of patients, and conventional electrocardiogram (ECG) or 24 h dynamic electrocardiogram. With the increase in pacemaker implants, pacemakers provide the conditions for diagnosing and treating atrial fibrillation.This article summarizes the diagnosis of atrial fibrillation by pacemaker, the influence of different types of pacing on atrial fibrillation, and the use of pacemakers to treat atrial fibrillation.