非瓣膜性心房颤动患者的综合治疗

Integrated treatment of patients with nonvalvular atrial fibrillation

心房颤动(AF)是临床上最常见的心律失常类型,既往AF管理侧重于AF相关栓塞预防以及心室率和节律的控制。近年来,AF综合管理的理念逐渐普及。AF综合管理强调在做好AF相关栓塞预防及症状控制的基础上,同时关注患者生活质量的改善以及合并症的管理,以进一步改善患者的预后。本文就非瓣膜性心房颤动患者的抗凝治疗、症状管理及危险因素的控制作一综述。

Atrial fibrillation(AF)is the most common type of arrhythmia clinically,and previous AF management has focused on the prevention of AF-related embolism and the control of ventricular rate and rhythm.In recent years,the concept of integrated management of AF is gradually popularized.Integrated management of AF emphasizes the prevention of AF-related embolism and symptom control,as well as the improvement of patients′quality of life and the treatment of complications at the same time,so as to further improve the prognosis of patients.This article reviews the anticoagulant therapy,symptom management,and control of risk factors in patients with nonvalvular atrial fibrillation.