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无序的心律 有序的认知——心房颤动电生理机制认识过程的回顾与治疗决策的选择
The Disorderly Rhythm,the Orderly Cognition:A Review of the Process of Understanding Electrophysiological Mechanisms of Atrial Fibrillation and the Selection of Therapeutic Strategy
【摘要】 心房颤动(房颤)病因谱广,病理基础呈多样性,电生理机制复杂。本文回顾了房颤电生理机制认识过程的百年历史。提出去除或控制病因是治疗房颤的基础和前提。经外科或导管消融治疗应依据房颤的不同临床背景和电生理特征而采用不同的治疗策略。
【Abstract】 Atrial fibrillation(AF)assumes a broad spectrum of causes,a wide diversity of pathological basis and a great complexity of electrophysiological mechanisms.This paper reviewed the history of the process of understanding AF electrophysiological mechanisms in the past century.To remove or control of AF causes is the basis and premise for the treatment.The therapeutic strategies of surgical or catheter ablation for the treatment of AF should be based on its clinical background and electrophysiological characteristics.
【关键词】 心房颤动;
电生理学;
消融;
治疗策略;
【Key words】 atrial fibrillation; electrophysiology; ablation; therapeutic strategy;
【Key words】 atrial fibrillation; electrophysiology; ablation; therapeutic strategy;
- 【文献出处】 医学与哲学(临床决策论坛版) ,Medicine & Philosophy(Clinical Decision Making Forum Edition) , 编辑部邮箱 ,2008年05期
- 【分类号】R541.7
- 【下载频次】87