老年心房颤动的综合管理

Comprehensive management of atrial fibrillation in the elderly

心房颤动(简称房颤)是老年人群中常见的心律失常,可导致或加重缺血性卒中、心肌梗死、心力衰竭等心脑血管疾病,严重危害老年人的健康。老年患者常常是多病共存,且伴有多种老年综合征。因此,对于老年房颤患者的治疗强调综合管理:进行必要的老年综合评估;予以生活方式干预、基础疾病及心血管危险因素的管理;根据老年房颤的不同状态,采取室率控制、节律控制及抗凝治疗等策略。

Atrial fibrllation(AF)is a common arrhythmia in the elderly population,which can lead to or aggravate cardiovascular and cerebrovascular diseases,such as ischemic stroke,myocardial infarction,heart failure,seriously endangering the health of the elderly.Elderly patients often have of multiple diseases at the same time,which are accompanied by a variety of geriatric syndromes.Therefore,comprehensive management is emphasized for the elderly with AF.Geriatric comprehensive assessment should be carried out.Lifestyle interventions and management of comorbidities/cardiovascularrisk factors should be performed uentricular.rate control,rhythm control,anticoagulation and other strategies should be given according to the different states of elderly patients with AF.