心房颤动诊疗的中国专家共识（Chinese expert consensus on diagnosis and treatment of atrial fibrillation）.docVIP

心房颤动诊疗的中国专家共识（Chinese expert consensus on diagnosis and treatment of atrial fibrillation） Atrial fibrillation (AF) is one of the most common arrhythmias in the clinic. Characterized by the loss of regular electrical activity in the atria and the rapid onset of disturbed waves. The atria suffer from loss of effective contraction and relaxation, deterioration or loss of pump function, and abnormal ventricular response. The pathogenesis of atrial fibrillation includes a variety of mechanisms such as rapid local ectopic activity, single loop reentry, and multiple loop reentry, as well as inflammatory mediators and autonomic nervous system activity. The pathogenesis of atrial fibrillation is different in different populations, and different pathogenesis of atrial fibrillation is different in response to different treatment methods. Classification of atrial fibrillation According to the characteristics of atrial fibrillation, atrial fibrillation can be divided into three groups: paroxysmal atrial fibrillation (paroxysmal, AF), persistent atrial fibrillation (persistent AF) and persistent atrial fibrillation (permanent AF). Paroxysmal atrial fibrillation: AF duration 7d, general 24 h, mostly self limiting. Persistent atrial fibrillation (AF): atrial fibrillation at a duration of 7d, usually without cardioversion, with a low rate of success with cardioversion, often requiring cardioversion. Permanent atrial fibrillation: atrial fibrillation characterized by cardioversion failure, failure to maintain sinus rhythm, or absence of cardioversion. Some patients have an unknown history of atrial fibrillation, with no symptoms or mild symptoms, and may be treated with a recent onset (recent) or recently discovered (Recent Discovered real name for the Chanlai), atrial fibrillation, it is difficult to determine the duration, also cannot determine whether previous episodes of atrial fibrillation. Some atrial fibrillation is difficult to define for the time taken. One patient may hav