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发布时间 : 星期四 文章心房颤动更新完毕开始阅读

图1. 按病因学进行分类

图2.Gallagher和Camm医生提出的分类法

按房颤发作的方式

永久性(Permanentl) 慢性 阵发性(Paraxysmal) 初始房颤(急性) 如手 术后 如CHF 如高血压、HCM 如甲亢 原发性 疤痕 扩张 肥厚 缺血 其他瓣膜性房颤 非瓣膜性 持续性(Persistent) 参考文献:

1.Gallagher MM,Camm AJ. Classification of atrial fibrillation Am J Cardiol 1998;82:18N-28N.

2.陈新,张澍,胡大一等,心房颤动:目前认识和治疗建议,

3.Levy S,Camm AJ,Saksena S,et al. International Consensus on Nomenclature and Classification of Atrial Fibrillation: A collaborative project of the working group on arrhythmias and the working group of cardiac pacing of the European society of cardiology and the north american society of pacing and electrophysiology,J Cardiovascular Electrophysiology 2003;14:443-445.

4.Atrial fibrillation investigator:Risk factors for stroke and efficacy of antithrombotic therapy an atrial fibrillation. Analysis of pooled data from five randomized controlled trials. Arch Intern Med. 1994;154:1449-1457.

5.Stroke prevention in atrial fibrillation investigators: Stroke prevention in atrial fibrillation study final results. Circulation 1991;84:527-539.

6.The Boston Area Anticoagulation Trial for Atrial Fibrillation Investigators. The effect of low-dose warfarin on the risk of stroke in patients with nonrheumatic atrial fibrillation. N Engl J Med 1990;323:1505-11.

7.Ezekowitz MD,Bridgers SL,James KE,et al. Wafarin in the prevention of stroke associated with nonrheumatic atrial fibrillation. N Engl J Med 1992;327:1406-12.

8.Connolly SJ,Laupacis A,et al. Canadian atrial fibrillation anticoagulation (CAFA) study. J AM Coll Cardiol 1991;18:349-55.

9.The Atrial Fibrillation Follow-up Investigation of Rhythm Management (AFFIRM) Investigators. A Comparison of Rate Control and Rhythm Control in Patients with Atrial Fibrillation. N Engl J Med, 2002; 347:1825-1833.

10.Gelder ICV, Hagens VE, Bosker HA, et al. A comparison of rate control and rhythm control in patients with recurrent persistent atrial fibrillation. N Engl J Med 2002;347:1834-40.