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Received:October 25, 2021 Published Online:September 20, 2022
Received:October 25, 2021 Published Online:September 20, 2022
中文摘要: 经导管主动脉瓣置换术(TAVR)是目前中、高危的重度主动脉瓣狭窄患者的一线治疗手段。但TAVR围术期心房颤动的发生率却不低,严重影响患者预后。TAVR术后新发心房颤动的机制尚不明确,围术期心房颤动的预防、治疗及预后仍在探索阶段。本文将从TAVR围术期心房颤动的发生率、潜在机制、预测因素、不良结局、预防及治疗等方面研究进展进行综述。
中文关键词: 经导管主动脉瓣置换术 心房颤动 围术期 预后
Abstract:Transcatheter aortic valve replacement (TAVR) is currently the first-line treatment for the patients with moderate to severe aortic stenosis. The high incidence of perioperative atrial fibrillation (POAF) in TAVR is significantly associated with worse prognosis. However, the mechanism of new-onset AF after TAVR is not clear, and the prevention, treatment and prognosis of POAF are still in the exploratory stage. This article reviews the research progress in the incidence, potential mechanisms, predictive factors, adverse outcomes, prevention and treatment of POAF after TAVR.
文章编号: 中图分类号:R654.2 文献标志码:A
基金项目:江苏省人民医院临床能力提升工程(JSPH-MB-2020-7)
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