[1]徐尧 蔡衡 李洪仕.心房颤动合并心力衰竭的导管消融治疗[J].心血管病学进展,2021,(4):322-326.[doi:10.16806/j.cnki.issn.1004-3934.2021.04.009]
 XU Yao,CAI Heng,LI Hongshi.Role of Radiofrequency Ablation in Patients with Atrial Fibrillation and Heart Failure[J].Advances in Cardiovascular Diseases,2021,(4):322-326.[doi:10.16806/j.cnki.issn.1004-3934.2021.04.009]
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心房颤动合并心力衰竭的导管消融治疗()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2021年4期
页码:
322-326
栏目:
综述
出版日期:
2021-04-25

文章信息/Info

Title:
Role of Radiofrequency Ablation in Patients with Atrial Fibrillation and Heart Failure
作者:
徐尧 蔡衡 李洪仕
(天津医科大学总医院心内科,天津300052)
Author(s):
XU YaoCAI HengLI Hongshi
(Department of Cardiology,Tianjin Medical University General Hospital,Tianjin 300041,China)
关键词:
心房颤动心力衰竭导管消融心肌病
Keywords:
Atrial fibrillation Heart failure Catheter ablation Cardiomyopathy
DOI:
10.16806/j.cnki.issn.1004-3934.2021.04.009
摘要:
心房颤动和心力衰竭是常见的心血管疾病,二者关系密切并可相互影响。近年来,随着导管消融技术的不断发展成熟,其在心房颤动伴心力衰竭患者中的治疗价值也日益提高。本文将结合最新研究进展进一步阐述导管消融在不同条件下的临床价值,以期为临床治疗提供参考。
Abstract:
Atrial fibrillation and heart failure are common cardiovascular diseases,they are closely related and can influence each other. In recent years,with the development and maturity of catheter ablation technology,its value in the treatment of patients with atrial fibrillation associated with heart failure has also increased significantly. In this paper,the clinical value of catheter ablation under different conditions will be further elaborated based on the latest research progress,so as to provide reference for clinical treatment.

参考文献/References:


[1] Prabhu S,Voskoboinik A,Kaye DM,et al. Atrial Fibrillation and heart failure—cause or effect?[J]. Heart Lung Circ,2017,26(9):967-974.

[2] Packer DL,Mark DB,Robb RA,et al. Effect of catheter ablation vs antiarrhythmic drug therapy on mortality,stroke,bleeding,and cardiac arrest among patients with atrial fibrillation[J]. JAMA,2019,321(13):1261.

[3] Writing Group Members,January CT,Wann LS,et al. 2019 AHA/ACC/HRS focused update of the 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation:a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society[J]. Heart Rhythm,2019,16(8):e66-e93.

[4] Kirchhof P,Benussi S,Kotecha D,et al. 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS[J]. Eur Heart J,2016,50(5):e1-e88.

[5] 黄从新,张澍,黄德嘉,等. 心房颤动:目前的认识和治疗的建议-2018[J]. 中国心脏起搏与心电生理杂志,2018,32(4):315-368.

[6]Hsu LF, Ja?s P, Sanders P,et al. Catheter ablation for atrial fibrillation in congestive heart failure[J]. N Engl J Med ,2004,351(23):2373-2383.

[7]Chen MS, Marrouche NF, Khaykin Y,et al. Pulmonary vein isolation for the treatment of atrial fibrillation in patients with impaired systolic function[J]. J Am Coll Cardiol,2004,43(6):1004-1009.

[8]Khan MN, Ja?s P, Cummings J, et al. Pulmonary-vein isolation for atrial fibrillation in patients with heart failure[J]. N Engl J Med,23,359(17):1778-1785.

[9]MacDonald MR, Connelly DT, Hawkins NM, et al. Radiofrequency ablation for persistent atrial fibrillation in patients with advanced heart failure and severe left ventricular systolic dysfunction: a randomised controlled trial[J]. Heart,2011,97(9):740-747.

[10]Jones DG, Haldar SK, Hussain W, et al. A randomized trial to assess catheter ablation versus rate control in the management of persistent atrial fibrillation in heart failure[J]. J Am Coll Cardiol,2013,61(18):1894-1903.

[11] Hunter RJ,Berriman TJ,Diab I,et al. A randomized controlled trial of catheter ablation versus medical treatment of atrial fibrillation in heart failure (The CAMTAF trial)[J]. Circ Arrhythm Electrophysiol,2014,7(1):31-38.

[12] di Biase L,Mohanty P,Mohanty S,et al. Ablation versus amiodarone for treatment of persistent atrial fibrillation in patients with congestive heart failure and an implanted device[J]. Circulation,2016,133(17):1637-1644.

[13] Lip GYH,Heinzel FR,Gaita F,et al. European Heart Rhythm Association/Heart Failure Association joint consensus document on arrhythmias in heart failure,endorsed by the Heart Rhythm Society and the Asia Pacific Heart Rhythm Society[J]. EP Europace,2015,18(1):12-36.

[14] Gonna H,Domenichini G,Zuberi Z,et al. Initial clinical results with the ThermoCool? SmartTouch? Surround Flow catheter[J]. EP Europace,2017,19(8):1317-1321.

[15] Dhillon G,Ahsan S,Honarbakhsh S,et al. A multicentered evaluation of ablation at higher power guided by ablation index:Establishing ablation targets for pulmonary vein isolation[J]. J Cardiovasc Electrophysiol,2018,30(3):357-365.

[16] Winkle RA,Mohanty S,Patrawala RA,et al. Low complication rates using high power (45-50 W) for short duration for atrial fibrillation ablation s[J]. Heart Rhythm,2019,16(2):165-169.

[17] Reddy VY,Grimaldi M,de Potter T,et al. Pulmonary vein isolation with very?high?power,short duration,temperature-controlled lesions:The QDOT-FAST Trial[J]. JACC Clin Electrophysiol,2019,5(7):778-786.

[18] Solimene F,Schillaci V,Shopova G,et al. Safety and efficacy of atrial fibrillation ablation guided by Ablation Index module[J].J Interv Card Electrophysiol,2019,54(1):9-15.

[19] Marrouche NF,Brachmann J,Andresen D,et al. Catheter ablation for atrial fibrillation with heart failure[J]. N Engl J Med,2018,378(5):417-427.

[20] Kuck KH,Merkely B,Zahn R,et al. Catheter ablation versus best medical therapy in patients with persistent atrial fibrillation and congestive heart failure:the randomized AMICA trial[J]. Circ Arrhythm Electrophysiol,2019,12(12):e007731.

[21] Brice?o DF,Markman TM,Lupercio F,et al. Catheter ablation versus conventional treatment of atrial fibrillation in patients with heart failure with reduced ejection fraction:a systematic review and meta-analysis of randomized controlled trials[J]. J Interv Card Electrophysiol,2018,53(1):19-29.

[22] Long S,Xi Y,Gao L,et al. Safety and efficacy of catheter ablation in atrial fibrillation patients with left ventricular dysfunction[J]. Clin Cardiol,2019,43(3):305-314.

[23] Ponikowski P,Voors AA,Anker SD,et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure:The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). Developed with the special contribution of the Heart Failure Association (HFA) of the ESC[J]. Eur Heart J,2016,37(27):2129-2200.

[24] Santhanakrishnan R,Wang N,Larson MG,et al. Atrial fibrillation begets heart failure and vice versa[J]. Circulation,2016,133(5):484-492.

[25] Franco J,Formiga F,Cepeda J,et al. Influence of atrial fibrillation on the mortality of patients with heart failure with preserved ejection fraction[J]. Med Clin (Barc),2018,150(10):376-382.

[26] Melenovsky V,Hwang S,Redfield MM,et al. Left atrial remodeling and function in advanced heart failure with preserved or reduced ejection fraction[J]. Circ Heart Fail,2015,8(2):295-303.

[27]Patel RB, Vaduganathan M, Shah SJ, et al. Atrial fibrillation in heart failure with preserved ejection fraction: Insights into mechanisms and therapeutics[J]. Pharmacol Ther,2017,176:32-39.

[28] Black-Maier E,Ren X,Steinberg BA,et al. Catheter ablation of atrial fibrillation in patients with heart failure and preserved ejection fraction[J]. Heart Rhythm,2018,15(5):651-657.

[29] Fukui A,Tanino T,Yamaguchi T,et al. Catheter ablation of atrial fibrillation reduces heart failure rehospitalization in patients with heart failure with preserved ejection fraction[J]. J Cardiovasc Electrophysiol,2020,31(3):682-688.

[30] Kelly JP,Devore AD,Wu J,et al. Rhythm control versus rate control in patients with atrial fibrillation and heart failure with preserved ejection fraction:insights from get with the guidelines—heart failure[J]. J Am Heart Assoc,2019,8(24):e011560.

[31] Machino-Ohtsuka T,Seo Y,Ishizu T,et al. Efficacy,safety,and outcomes of catheter ablation of atrial fibrillation in patients with heart failure with preserved ejection fraction[J]. J Am Coll Cardiol,2013,62(20):1857-1865.

[32] Machino-Ohtsuka T,Seo Y,Ishizu T,et al. Relationships between maintenance of sinus rhythm and clinical outcomes in patients with heart failure with preserved ejection fraction and atrial fibrillation[J]. J Cardiol,2019,74(3):235-244.

[33] Vecchio N,Ripa L,Orosco A,et al. Atrial fibrillation in heart failure patients with preserved or reduced ejection fraction. prognostic significance of rhythm control strategy with catheter ablation[J]. J Atr Fibrillation,2019,11(5):2128.

[34] Kotecha D,Chudasama R,Lane D A,et al. Atrial fibrillation and heart failure due to reduced versus preserved ejection fraction:a systematic review and meta-analysis of death and adverse outcomes[J]. Int J Cardiol,2016,203:660-666.

[35] Huang W,Su L,Wu S,et al. Benefits of permanent his bundle pacing combined with atrioventricular node ablation in atrial fibrillation patients with heart failure with both preserved and reduced left ventricular ejection fraction[J]. J Am Heart Assoc,2017,6(4):e005309.

[36] Magnusson P,M?rner S,Gadler F,et al. Health-related quality of life in hypertrophic cardiomyopathy patients with implantable defibrillators[J]. Health Qual Life Outcomes,2016,14:62.

[37] Rowin EJ,Hausvater A,Link MS,et al. Clinical profile and consequences of atrial fibrillation in hypertrophic cardiomyopathy[J]. Circulation,2017,136(25):2420-2436.

[38] Vollmar C,Vollmar A,Keene BW,et al. Dilated cardiomyopathy in 151 Irish Wolfhounds:characteristic clinical findings,life expectancy and causes of death[J]. Vet J,2019,245:15-21.

[39] Zhao L,Xu K,Jiang W,et al. Long-term outcomes of catheter ablation of atrial fibrillation in dilated cardiomyopathy[J]. Int J Cardiol,2015,190:227-232.

[40] Sohinki D,Ho J,Srinivasan N,et al. Outcomes after atrioventricular node ablation and biventricular pacing in patients with refractory atrial fibrillation and heart failure:a comparison between non-ischaemic and ischaemic cardiomyopathy[J]. EP Europace,2014,16(6):880-886.

[41] Deshmukh A,Kim G,Burke M,et al. Atrial arrhythmias and electroanatomical remodeling in patients with left ventricular assist devices[J].J Am Heart Assoc,2017,6(3):e005340.

[42] Pedde D,Soltani S,Stein J,et al. Impact of preoperative atrial fibrillation on thromboembolic events and pump thrombosis in long-term left ventricular assist device therapy[J]. Eur J Cardiothorac Surg,2020,57(2):325-330.

[43] Kurihara C,Critsinelis A,Kawabori M,et al. Effect of preoperative atrial fibrillation on patients with chronic heart failure who undergo long-term continuous-flow LVAD implantatio n[J]. ASAIO J,2018,64(5):594-600.

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备注/Memo

备注/Memo:
通信作者:蔡衡,E-mail:caihengch@163.com 收稿时间:2020-08-27
更新日期/Last Update: 2021-07-01