[1]赵海娟 李珂 赵耀 彭玉霞 黄松群 郭志福.成人先天性心脏病合并心房颤动的诊治进展[J].心血管病学进展,2023,(3):216.[doi:10.16806/j.cnki.issn.1004-3934.2023.03.006]
 ZHAO Haijuan,LI Ke,ZHAO Yao,et al.Atrial Fibrillation in Congenital Heart Disease[J].Advances in Cardiovascular Diseases,2023,(3):216.[doi:10.16806/j.cnki.issn.1004-3934.2023.03.006]
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成人先天性心脏病合并心房颤动的诊治进展()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2023年3期
页码:
216
栏目:
综述
出版日期:
2023-03-25

文章信息/Info

Title:
Atrial Fibrillation in Congenital Heart Disease
作者:
赵海娟1 李珂 1 赵耀 1 彭玉霞 2 黄松群 1 郭志福 1
(1.海军军医大学长海医院心血管内科,上海 200433;2.鹰潭卫生学校,江西 鹰潭 335000)
Author(s):
ZHAO Haijuan1LI Ke1ZHAO Yao1PENG Yuxia2HUANG Songqun1GUO Zhifu1
(1.Department of Cardiology,Changhai Hospital,Naval Medical University,Shanghai 200433,China; 2.Yingtan Health College,Yingtan 335000,Jiangxi,China)
关键词:
心房颤动成人先天性心脏病抗凝抗心律失常药导管消融术
Keywords:
Atrial fibrillationAdult congenital heart diseaseAnticoagulationAntiarrythmicsCatheter ablation
DOI:
10.16806/j.cnki.issn.1004-3934.2023.03.006
摘要:
随着医学的进步,成人先天性心脏病患者人数持续增加,心房颤动(房颤)的患病率随之增加,带来新的挑战。特殊的心脏解剖结构、病理生理特点、矫正手术的多样性以及相关并发症使临床决策复杂化。现总结目前先天性心脏病流行病学及病理生理学进展,尤其是成人先天性心脏病合并房颤的长期管理策略,包括使用抗心律失常药、导管消融、外科手术消融以及预防血栓栓塞等,以期为相关研究提供参考。
Abstract:
With the advancement of medicine,the increasing prevalence of atrial fibrillation in a growing population of adults with congenital heart disease(CHD) poses new challenges. Special cardiac anatomical structure,pathophysiological characteristics,diversity of corrective surgery and related complications complicate clinical decision-making. This paper summarizes the current advances in epidemiology and pathophysiology of CHD,especially the long-term management strategy of adult CHD with atrial fibrillation,including the use of antiarrhythmic s, catheter ablation,surgical ablation and prevention of thromboembolism,in order to provide reference for relevant research

参考文献/References:

[1] Gurvitz M,Dunn JE,Bhatt A,et al. Characteristics of adults with congenital heart defects in the United States[J]. J Am Coll Cardiol,2020,76(2):175-182.

[2] Gilboa SM,Devine OJ,Kucik JE,et al. Congenital heart defects in the United States:estimating the magnitude of the affected population in 2010[J]. Circulation,2016,134(2):101-109.

[3] Labombarda F,Hamilton R,Shohoudi A,et al. Increasing prevalence of atrial fibrillation and permanent atrial arrhythmias in congenital heart disease[J]. J Am Coll Cardiol,2017,70(7):857-865.

[4] Mandalenakis Z,Rosengren A,Lappas G,et al. Atrial fibrillation burden in young patients with congenital heart disease[J]. Circulation,2018,137(9):928-937.

[5] Kamp AN,Nair K,Fish FA,et al. Catheter ablation of atrial arrhythmias in patients post-Fontan[J]. Can J Cardiol,2022,38(7):1036-1047.

[6] Baumgartner H,de Backer J. The ESC clinical practice guidelines for the management of adult congenital heart disease 2020[J]. Eur Heart J,2020,41(43):4153-4154.

[7] Waldmann V,Khairy P. Pathophysiology,risk factors,and management of atrial fibrillation in adult congenital heart disease[J]. Card Electrophysiol Clin,2021,13(1):191-199.

[8] Waldmann V,Laredo M,Abadir S,et al. Atrial fibrillation in adults with congenital heart disease[J]. Int J Cardiol,2019,287:148-154.

[9] Gianni C,Mohanty S,Trivedi C,et al. Novel concepts and approaches in ablation of atrial fibrillation:the role of non-pulmonary vein triggers[J]. Europace,2018,20(10):1566-1576.

[10] Waldmann V,Guichard JB,Marijon E,et al. Tachyarrhythmias in congenital heart diseases:from ion channels to catheter ablation[J]. J Cardiovasc Dev Dis,2022,9(2):39.

[11] Gottlieb LA,Al Jefairi N,El Hamrani D,et al. Reduction in left atrial and pulmonary vein dimensions after ablation therapy is mediated by scar[J]. Int J Cardiol Heart Vasc,2021,37:100894.

[12] Escudero C,Khairy P,Sanatani S. Electrophysiologic considerations in congenital heart disease and their relationship to heart failure[J]. Can J Cardiol,2013,29(7):821-829.

[13] Giang KW,Fedchenko M,Dellborg M,et al. Burden of ischemic stroke in patients with congenital heart disease:a nationwide,case-control study[J]. J Am Heart Assoc,2021,10(13):e020939.

[14] Mandalenakis Z,Rosengren A,Lappas G,et al. Ischemic stroke in children and young adults with congenital heart disease[J]. J Am Heart Assoc,2016,5(2):e003071.

[15] Sinning C,Zengin E,Blankenberg S,et al. Anticoagulation management in adult patients with congenital heart disease:a narrative review[J]. Cardiovasc Diagn Ther,2021,11(6):1324-1333.

[16] Khairy P,Aboulhosn J,Broberg CS,et al. Thromboprophylaxis for atrial arrhythmias in congenital heart disease:a multicenter study [J]. Int J Cardiol,2016,223:729-735.

[17] Yang H,Bouma BJ,Mulder BJM,et al. Is initiating NOACs for atrial arrhythmias safe in adults with congenital heart disease?[J]. Cardiovasc Drugs Ther ,2017,31(4):413-417.

[18] Marelli A,Beauchesne L,Colman J,et al. Canadian Cardiovascular Society 2022 guidelines for cardiovascular interventions in adults with congenital heart disease[J]. Can J Cardiol,2022,38(7):862-896.

[19] Yang H,Bouma BJ,Dimopoulos K,et al. Non-vitamin K antagonist oral anticoagulants (NOACs) for thromboembolic prevention,are they safe in congenital heart disease? Results of a worldwide study[J]. Int J Cardiol,2020,299:123-130.

[20] Mongeon FP,Macle L,Beauchesne LM,et al. Non-vitamin K antagonist oral anticoagulants in adult congenital heart disease[J]. Can J Cardiol,2019,35(12):1686-1697.

[21] Wells R,Khairy P,Harris L,et al. Dofetilide for atrial arrhythmias in congenital heart disease:a multicenter study[J]. Pacing Clin Electrophysiol,2009,32(10):1313-1318.

[22] Miyazaki A,Ohuchi H,Kurosaki K,et al. Efficacy and safety of sotalol for refractory tachyarrhythmias in congenital heart disease[J]. Circ J,2008,72(12):1998-2003.

[23] Claeys MJ,Bondue A,Lancellotti P,et al. Summary of 2020 ESC guidelines on non-STE ACS,adult congenital heart disease,sports cardiology and atrial fibrillation[J]. Acta Cardiol,2022:77(10):864-872.

[24] Acena M,Anguera I,Dallaglio PD,et al. Atrial fibrillation ablation in adults with repaired congenital heart disease[J]. J Atr Fibrillation,2016,8(5):1363.

[25] Sohns C,Nürnberg JH,Hebe J,et al. Catheter ablation for atrial fibrillation in adults with congenital heart disease:lessons learned from more than 10 years following a sequential ablation approach[J]. JACC Clin Electrophysiol,2018,4(6):733-743.

[26] Philip F,Muhammad KI,Agarwal S,et al. Pulmonary vein isolation for the treatment of drug-refractory atrial fibrillation in adults with congenital heart disease[J]. Congenit Heart Dis,2012,7(4): 392-399.

[27] Liang JJ,Frankel DS,Parikh V,et al. Safety and outcomes of catheter ablation for atrial fibrillation in adults with congenital heart disease:a multicenter registry study [J]. Heart Rhythm,2019,16(6):846-852.

[28] Guarguagli S,Kempny A,Cazzoli I,et al. Efficacy of catheter ablation for atrial fibrillation in patients with congenital heart disease[J]. Europace,2019,21(9):1334-1344.

[29] Ebrahim MA,Escudero CA,Kantoch MJ,et al. Insights on atrial fibrillation in congenital heart disease[J]. Can J Cardiol,2018,34(11):1531-1533.

[30] Hindricks G,Potpara T,Dagres N,et al. 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery(EACTS):the Task Force for the diagnosis and management of atrial fibrillation of the European Society of Cardiology(ESC) Developed with the special contribution of the European Heart Rhythm Association(EHRA) of the ESC[J]. Eur Heart J,2021,42(5):373-498.

[31] Giamberti A,Pluchinotta FR,Chessa M,et al. Surgery for supraventricular tachycardia and congenital heart defects:long-term efficacy of the combined approach in adult patients[J]. Europace,2017,19(9):1542-1548.

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更新日期/Last Update: 2023-04-24