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21/F，心悸一周

30/M，发作性心悸1小时

F/70，阵发心悸4年

M/67，高血压20年，心悸1周

M/72，严重肺气肿，呼吸

AtrialFibrillation

•Definition

–AFisasupraventriculartachyarrhythmiawith

uncoordinatedatrialactivationand

consequentlyineffectiveatrialcontraction

•ECG

–1)irregularR-Rintervals

–2)absenceofdisttrepeatingPwaves

–3)irregularatrialactivity

•fwave350-600bpminV1

Hemodynamicconsequences

•suboptimalventricularratecontrol

•lossofcoordinatedatrialcontraction

•beat-to-beatvariabilityinven