The Mechanism of and Preventive Therapy for Stroke in Patients with Atrial Fibrillation.
The Mechanism of and Preventive Therapy for Stroke in Patients with Atrial Fibrillation.
复制标题
心房颤动患者中风的机制和预防治疗。
DOI：
10.5853/jos.2016.00234
复制
发表时间：
2016-05
影响因子：
8.2
通讯作者：
Roh SY
中科院分区：
文献类型：
--
作者：
Kim YH;Roh SY
心房颤动是中风的主要心脏原因，并且心房颤动患者中涉及血栓形成的发病机制已被充分确立。涉及导管消融和抗凝治疗的节律控制策略正在发展。恢复和维持窦性心律的节律控制策略应降低与房颤相关的缺血性卒中的风险;然而，这尚未在大规模随机对照试验中得到证实。本文综述了心律控制治疗在房颤预防卒中中的作用。
Atrial fibrillation is a major cardiac cause of stroke, and a pathogenesis involving thrombus formation in patients with atrial fibrillation is well established. A strategy for rhythm control that involves catheter ablation and anticoagulation therapy is evolving. A strategy for rhythm control that restores and maintains sinus rhythm should reduce the risk of ischemic stroke that is associated with atrial fibrillation; however, this is yet to be proven in large-scale randomized controlled trials. This paper reviews the emerging role of rhythm control therapy for atrial fibrillation to prevent stroke.