慢性心力衰竭合并心房颤动诊断与治疗中国专家共识（Chinese expert consensus on diagnosis and treatment of chronic heart failure complicated with atrial fibrillation）.docVIP

慢性心力衰竭合并心房颤动诊断与治疗中国专家共识（Chinese expert consensus on diagnosis and treatment of chronic heart failure complicated with atrial fibrillation） (I) definitions and classifications Atrial fibrillation (AF) is the most common atrial arrhythmia in patients with chronic heart failure. It is characterized by uncoordinated atrial activity and subsequent deterioration and loss of atrial function. The electrocardiogram is characterized by the disappearance of a normal P wave, a rapid oscillatory wave or a tremor that varies in size, shape, and duration. If atrioventricular conduction is normal, irregular rapid ventricular response is often present, which aggravates heart failure. Atrial fibrillation can occur alone or in combination with other arrhythmias, such as atrial flutter. Atrial fibrillation is divided into the following 4 categories: Paroxysmal atrial fibrillation: atrial fibrillation attacks more than 2 times, duration of 7 days, general 24h, mostly self limiting, can terminate on its own. Persistent atrial fibrillation (AF): a house with a duration of 7 days is generally unable to change its course by itself. Can be the first manifestation of atrial fibrillation, or paroxysmal atrial fibrillation repeated attacks. Drugs or / and electrical cardioversion can terminate atrial fibrillation. Permanent atrial fibrillation: even if cardioversion does not terminate AF episodes or recur within 24h after cardioversion, or have no cardioversion. Initial onset of atrial fibrillation: atrial fibrillation was first detected, without previous history of atrial fibrillation, without symptoms or mild symptoms. Chronic heart failure is often associated with persistent atrial fibrillation or permanent atrial fibrillation. (two) epidemiology Clinically, 10% - 35% chronic heart failure patients with atrial fibrillation is one of the most common arrhythmias in congestive heart failure. With the severity of heart disease and deterioration of heart function, the incidence of atrial fibrilla