成人先天性心脏病合并心房颤动的诊治进展

Atrial Fibrillation in Congenital Heart Disease

随着医学的进步,成人先天性心脏病患者人数持续增加,心房颤动(房颤)的患病率随之增加,带来新的挑战。其特殊的心脏解剖结构、病理生理特点、矫正手术的多样性以及相关并发症使临床决策复杂化。现总结目前先天性心脏病流行病学及病理生理学进展,尤其是成人先天性心脏病合并房颤的长期管理策略,包括使用抗心律失常药、导管消融、外科手术消融以及预防血栓栓塞等,以期为相关研究提供参考。

With the advancement of medicine,the increasing prevalence of atrial fibrillation in a growing population of adults with congenital heart disease(CHD)poses new challenges.Special cardiac anatomical structure,pathophysiological characteristics,diversity of corrective surgery and related complications complicate clinical decision-making.This paper summarizes the current advances in epidemiology and pathophysiology of CHD,especially the long-term management strategy of adult CHD with atrial fibrillation,including the use of antiarrhythmics,catheter ablation,surgical ablation and prevention of thromboembolism,in order to provide reference for relevant research.