摘要
心房颤动(房颤)是21世纪全球心血管疾病领域面临的严峻挑战之一,我国房颤患者人数超过1 200万,且新发患者不断增加.房颤可影响患者生活质量,并显著增加死亡、卒中、心衰、认知功能障碍和痴呆等风险.导管消融是目前治疗房颤的有效手段.在近年来国内外发布的房颤管理指南中,房颤导管消融的适应证逐步扩大,推荐级别不断提升,全国房颤导管消融手术量持续快速增长,其中射频消融是最常使用的导管消融方式.中国生物医学工程学会心律分会联合40家心律失常中心、60位房颤导管消融领域资深专家,参考国内外最新房颤相关指南及共识,结合我国近年来积累的大量临床实践经验,从围术期管理、房间隔穿刺、建模与标测、消融、并发症识别与处理5个部分拟定本通用标准,用于指导房颤导管射频消融的实际操作,提高手术的安全性和有效性.
Abstract
Atrial fibrillation(AF)has emerged as a major global cardiovascular disease in the 21st century.In China,there are greater than 12 million patients with AF,and its incidence continues to rise.AF affects patients'quality of life and significantly increases the risks of mortality,stroke,heart failure,cognitive impairment,and dementia.In recent years,multiple clinical guidelines have expanded the indications for catheter ablation and raised its level of recommendation.Concurrently,there has been a rapid and sustained increase in the number of AF ablation procedures performed across China.Among these,radiofrequency catheter ablation remains the most used method.Consequently,the Chinese Heart Rhythm Society of the Chinese Society of Biomedical Engineering,in collaboration with 40 arrhythmia centers and 60 leading clinical experts specializing in AF catheter ablation,developed a comprehensive set of standards.These standards were developed based on extensive clinical experience accumulated in recent years and the latest national and international AF guidelines and consensus documents.They address five critical domains:periprocedural management,intra-atrial septal puncture,anatomical reconstruction and electroanatomic mapping,ablation,and complication identification and management.By providing a structured framework,these standards aim to guide AF catheter ablation practice,thereby enhancing procedural safety and efficacy.
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