ACC房顫指南解讀

1、2014 aha/acc/hrs 心房顫動(dòng)患者管理指南解心房顫動(dòng)患者管理指南解讀讀22014年年3月月28日在線發(fā)表日在線發(fā)表美國(guó)美國(guó)aha/acc/hrs共同推出了新的房顫指南，以替代共同推出了新的房顫指南，以替代2006年版房顫指年版房顫指南和南和2項(xiàng)于項(xiàng)于2011年更新的指南。新指南參考了大量近幾年來關(guān)于房顫診療年更新的指南。新指南參考了大量近幾年來關(guān)于房顫診療的研究資料，并參考了的研究資料，并參考了2012年年esc房顫指南，新的指南與之前的相比做房顫指南，新的指南與之前的相比做出了大量的修改。出了大量的修改。 房顫的重要性房顫的重要性af is a common cardiac rh

2、ythm disturbance and increases in prevalence with advancing age. approximately 1% of patients with af are 12 months) persistent af refractory or intolerant to at least 1 class i or iii antiarrhythmic medication, when a rhythm control strategy is desired (363, 404). (level of evidence: b)2. af cathet

3、er ablation may be considered prior to initiation of antiarrhythmic drug therapy with a class i or iii antiarrhythmic medication for symptomatic persistent af, when a rhythm control strategy is desired. (level of evidence: c)導(dǎo)管消融治療房顫導(dǎo)管消融治療房顫class iii: harm1. af catheter ablation should not be perfor

4、med in patients who cannot be treated with anticoagulant therapy during and following the procedure. (level of evidence: c)2. af catheter ablation to restore sinus rhythm should not be performed with the sole intent of obviating the need for anticoagulation. (level of evidence: c)小結(jié)小結(jié)房撲被特別強(qiáng)調(diào)房撲被特別強(qiáng)調(diào)cha2ds2-vasc取代取代chads2阿