心房颤动患者心房颤动更优管理路径综合管理的研究进展

Comprehensive Management with the Atrial Fibrillation Better Care Pathway in Patients with Atrial Fibrillation

心房颤动(房颤)是临床最常见的心律失常,其不仅显著增加其他心血管疾病的发生率、并发症和病死率,房颤本身亦是死亡、卒中和心力衰竭等事件的独立危险因素。临床上,老年和合并多重疾病等复杂房颤患者占很大比例,故针对房颤患者需综合管理,近年来提出房颤更优管理路径作为房颤患者综合管理的整体性策略。越来越多的研究证实,遵循房颤更优管理路径综合管理可显著降低房颤相关的死亡率和发病率,且可减少房颤患者的临床不良事件。现就房颤更优管理路径综合管理的相关最新研究进展做一综述。

Atrial fibrillation is the most common arrhythmia in clinical practice.Atrial fibrillation not only significantly increases the incidence,complications and mortality of other cardiovascular diseases,but also is an independent risk factor for death,stroke and heart failure.Clinically,patients with complex atrial fibrillation,such as the elderly and combined with multiple diseases,account for a large proportion.Therefore,comprehensive management methods are required for patients with atrial fibrillation.In recent years,the Atrial fibrillation Better Care(ABC)pathway has been proposed as a holistic approach to the comprehensive management of patients with atrial fibrillation.There is growing evidence that comprehensive management with the ABC pathway can significantly reduce the atrial fibrillation-related mortality and morbidity,while reducing the major adverse events in patients with atrial fibrillation.This article reviews the latest research progress on the comprehensive management with the ABC pathway in patients with atrial fibrillation.