再评价房颤节律控制和频率控制的利与弊PPT.ppt

再评价房颤节律控制和频率控制的利与弊;Miyasaka. Circulation,2006:119;房颤治疗策略;Rhythm control ;节律控制 vs. 频率控制; Rhythm Control Vs．Rate Control： Should Rhythm Control be Abandoned? NO!;Cooper HA. Am J Cardiol 2004;93:1247;窦性心律降低死亡率;ACC/AHA/ESC 2006 房颤指南;控制节律的策略并不优于控制心室率并不是要否定节律控制策略，因为研究同时揭示：维持窦律的优势之所以丧失，是由于目前抗心律失常药物的副作用大，足以抵消维持窦律带来的益处，且部分转律患者并不能维持长期的窦性心律。 从理论上讲，节律控制优于室率控制。;2007临床试验荟萃;Randomized Controlled Trial of Rhythm vs. Rate Control Strategy in Japanese Patients with Paroxysmal and Persistent Atrial Fibrillation (J-RHYTHM Study);研究结果;Episodic versus Continuous Amiodarone Therapy for Prevention of Permanent Atrial Fibrillation ;研究结果;Atrial Fibrillation and Congestive Heart Failure (AF-CHF);研究结果;ACC/AHA/ESC 房颤指南;节律控制 or 心率控制?;;节律控制策略的选择;胺碘酮主要副作用发生率;胺碘酮增加心功能III级患者死亡率 SCD－HeFT研究;dronedarone ：房颤药物的新希望？;Dronedarone for Maintenance of Sinus Rhythm in Atrial Fibrillation or Flutter;经导管射频消融 ----微创房颤根治术; Pappone C, et al. JACC,2003,42:185;导管消融优于药物治疗？;ACC/AHA/ESC 2006 房颤指南;;目前导管射频消融的临床试验;Catheter ablation treatment in patients with drug-refractory atrial fibrillation: a prospective, multi-centre, randomized, controlled study (Catheter Ablation For The Cure Of Atrial Fibrillation Study) ;研究结果;A randomized trial of circumferential pulmonary vein ablation versus antiarrhythmic drug therapy in paroxysmal atrial fibrillation: the APAF Study. ;研究结果;Circumferential Pulmonary-Vein Ablation for Chronic Atrial Fibrillation;研究结果;研究结果;房颤导管消融的适应证;小结