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心房颤动是临床中最常见的慢性心律失常,其发生率随年龄的增长而明显增加,60岁以上人群的发病率为4％,80岁以上高达20％。房颤也是最常见的需要用药物控制症状的心律失常。临床医生往往认为房颤的治疗较为简单,即首先力争转复并维持窦性心律,不然则控制房颤的心室率。ACC/AHA发表的最新房颤指南认为,心房颤动的治疗主要包括心律失常本身的治疗和预防血栓栓塞两大方面。指南中关于血栓栓塞的研究信息十分丰富并且证据水平较高,而对心律失常的治疗则主张应针对不同类型的房颤,选择不同的治疗策略。症状轻微、新发生的阵发性房颤,可能不需要任何治疗。慢性永久性房颤控制心室率即可,而对持续性房颤的患者,
Atrial fibrillation is the most common chronic arrhythmia in clinical practice. The incidence of atrial fibrillation is obviously increased with the increase of age. The incidence rate is 4% in people over 60 years old and 20% above 80 years old. Atrial fibrillation is also the most common arrhythmia that requires medication to control symptoms. Clinicians often believe that the treatment of atrial fibrillation is relatively simple, that is, first of all to strive to restore and maintain sinus rhythm, otherwise control the ventricular rate of atrial fibrillation. ACC / AHA published the latest guidelines for atrial fibrillation that the treatment of atrial fibrillation include the treatment of arrhythmia itself and prevention of thromboembolism in two aspects. The guidelines for thromboembolism in the study is very rich and high level of evidence, and the treatment of arrhythmias advocate should be for different types of atrial fibrillation, choose a different treatment strategy. Minor symptoms, new onset of paroxysmal atrial fibrillation, may not require any treatment. Chronic permanent atrial fibrillation can control the ventricular rate, and patients with persistent atrial fibrillation,