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预激综合征(WPW)合并心房颤动(房颤)可引起快速心室反应,发展为心室颤动,使血流动力学恶化,危及生命,因此及时诊断和合理治疗WPW合并房颤具有重要临床意义。现对WPW并发房颤可能与旁路电生理特性、旁路对心房电生理的影响、旁路逆传致波峰碰撞等因素有关的机制;在心电图上的诊断特点;电复律治疗的适应证和注意事项;普罗帕酮、胺碘酮、伊布利特等的药物治疗;射频消融治疗及术后的复发随访进行综述。
WPW combined with atrial fibrillation (atrial fibrillation) can cause rapid ventricular response, the development of ventricular fibrillation, hemodynamic deterioration, life-threatening, so timely diagnosis and rational treatment of WPW with atrial fibrillation has important clinical significance. The current WPW may be associated with atrial fibrillation bypassed electrophysiological characteristics, the impact of bypass on atrial electrophysiological, bypass and other factors leading to the peak reverse collision mechanism; ECG diagnostic features; indications for cardioversion therapy And precautions; propafenone, amiodarone, ibutilide and other drug treatment; radiofrequency ablation and postoperative follow-up were reviewed.