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1、InAtrialFibablationera，isrhythmcontrolbetterthanratecontrol?EpidemiologyandcomplicationAbout1%ofallpopulationAbout10%ofseniorpeople(>70yearsold)About5%embolism/strokeeachyearExacerbateHeartfailureEpidemiologyJACC,VOL.66,NO.9,2015EpidemiologyJACC,VOL.66,NO.9,20
2、15EpidemiologyandcomplicationAbout1%ofallpopulationAbout10%ofseniorpeople(>70yearsold)About5%embolism/strokeeachyearExacerbateHeartfailureCHADS2-VASCCHADS2-VASC7/5/2021EpidemiologyandcomplicationAbout1%ofallpopulationAbout10%ofseniorpeople(>70yearsold)About5%e
3、mbolism/strokeeachyearExacerbateheartfailureDeterioratecardiacfunctionDeterioratecardiacfunctionRatecontrolVSrhythmcontroltraditionalrhythmcontrolablationTherapyaimDecreasemortality/strokeProtectcardiacfunctionTherapyaimDecreasemortality/strokeTreatstrategyRat
4、econtrolVsRhythmcontrol,whichisbetter?TraditionalrhythmcontrolAFFIRMStudy（paroxysmalorpersistentAF）AFFIRMStudyAFFIRMStudyHazardratiofordearthWhynodifference?Sinusrhythmcontrolratelow?Sinusrhythmcontrolratelow?Thesinusrhythmrateis82.4%73.3%,62.6%at1,3,5yearsWhy
5、nodifference?Differenceinanticoagulationtherapy?Whynodifference?Differenceinanticoagulationtherapy?85%ratecontrolpatientswithwarfarin70%rhythmcontrolpatientswithwarfarinWhynodifference?AFFIRMStudyLessonfromAFFIRMUsingtraditionwaytorhythmcontrol,nobenefitsinpre
6、ventingmortalityandstroke.Evensuccessofrhythmcontrol,anticoagulationnecessaryintraditionwaySuccessrateofrhythmcontrolinablationWhataboutablation?Sinusratecontrolis……40%,37%,29%at1,3,5yearsforsingleablation(arrhythmiafree)87%,81%,63%at1,3,5yearsformultipleablat
7、ion(arrhythmiafree)singleprocedure54.1%inparoxysmalAF,41.8%innonparoxysmalAF.Withmultipleprocedures,thelong-termsuccessrateimprovedto79.8%.Sinusratecontrolis……Sinusratecontrolis……JAmHeartAssoc.2013Mar18;2(2):e004549.doi:10.1161/JAHA.112.004549.Sinusratecontrol
8、is……JAmHeartAssoc.2013Mar18;2(2):e004549.doi:10.1161/JAHA.112.004549.Arrhythmiafree&asymptomaticAfhttp://dx.doi.org/10.3346/jkms.2015.30.8.1078•JKoreanMedSci2015;30:1078-1084Forsin
