心脏术后新发心房颤动的研究进展
Postoperative Atrial Fibrillation After Cardiac Surgery
陶红 1沈骁 1章淬1
作者信息
- 1. 南京医科大学附属南京医院南京市第一医院重症医学科,江苏南京 210000
- 折叠
摘要
心脏术后新发心房颤动(房颤)是心脏术后常见的并发症.心脏术后新发房颤增加了患者卒中甚至死亡的风险,其发生的确切机制尚不清楚.许多研究者认为在"房颤基质"的基础上,各种触发因素刺激了房颤的发生.最近的研究将目光投向了心包炎症的作用,既往研究侧重于危险因素的发掘.此外,利用各种手段对其进行早期预测也具有重要临床意义.现就近年来心脏术后新发房颤的发生机制、危险因素、预测手段以及防治措施等展开综述,以指导临床实践.
Abstract
Postoperative atrial fibrillation(POAF)is a common complication after cardiac surgery.POAF would increase risks of stroke and death,and the underlying pathogenesis of POAF is not fully understood.Many researchers believe that various triggering factors on the basis of the arrhythmogenic substrates stimulate the occurrence of atrial fibrillation.Recent research has focused on the role of pericarditis,while previous studies have focused on identifying risk factors.In addition,utilizing various methods for early prediction for POAF is also of great clinical significance.This article provides a review on the mechanisms,risk factors,predictive methods,prevention and treatment measures of POAF after cardiac surgery in recent years,in order to guide clinical practice.
关键词
心脏手术/心房颤动/发生机制/围手术期管理Key words
Cardiac surgery/Atrial fibrillation/Pathogenesis/Perioperative management引用本文复制引用
出版年
2024
NETL
NSTL
万方数据