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1、房颤治疗新指南解读苏州大学附属一院蒋文平2011年9月2011上海心律失常论坛一.前言1.AF治疗仍是心律失常治疗中重要问题2010年ESC和2011年ACCF/AHA/HRS各自修订了AF治疗指南ESCGUIDELINESGuidelinesforthemanagementofatrialfibrillationTheTaskForcefortheManagementofAtrialFibrillationoftheEuropeanSocietyofCardiology(ESC)DevelopedwiththespecialcontributionoftheEuro
2、peanHeartRhythmAssociation(EHRA)†EndorsedbytheEuropeanAssociationforCardio-ThoracicSurgery(EACTS)Authors/TaskForceMembers:A.JohnCamm(Chairperson)(UK)*,PaulusKirchhof(Germany),GregoryY.H.Lip(UK),UlrichSchotten(TheNetherlands),IreneSavelieva(UK),SabineErnst(UK),IsabelleC.VanGelder(TheNeth
3、erlands),NawwarAl-Attar(France),GerhardHindricks(Germany),BernardPrendergast(UK),HeinHeidbuchel(Belgium),OttavioAlfieri(Italy),AnnalisaAngelini(Italy),DanAtar(Norway),PaoloColonna(Italy),RaffaeleDeCaterina(Italy),JohanDeSutter(Belgium),AndreasGoette(Germany),BulentGorenek(Turkey),Magnus
4、Heldal(Norway),StefanH.Hohloser(Germany),PhilippeKolh(Belgium),Jean-YvesLeHeuzey(France),PiotrPonikowski(Poland),FransH.Rutten(TheNetherlands).2011ACCF/AHA/HRSFocusedUpdateontheManagementofPatientsWithAtrialFibrillation(Updatingthe2006Guideline):AReportoftheAmericanCollegeofCardiologyFo
5、undation/AmericanHeartAssociationTaskForceonPracticeGuidelines2011WritingGroupMembers,L.SamuelWann,AnneB.Curtis,CraigT.January,KennethA.Ellenbogen,JamesE.Lowe,N.A.MarkEstes,III,RichardL.Page,MichaelD.Ezekowitz,DavidJ.Slotwiner,WarrenM.Jackman,WilliamG.Stevenson,CynthiaM.TracyandAliceK.J
6、acobsCirculation2011;123;104-123;originallypublishedonlineDec20,2010;DOI:10.1161/CIR.0b013e3181fa3cf4CirculationispublishedbytheAmericanHeartAssociation.7272GreenvilleAvenue,Dallas,TX72514Copyright©2011AmericanHeartAssociation.Allrightsreserved.PrintISSN:0009-7322.OnlineISSN:1524-4539Th
7、eonlineversionofthisarticle,alongwithupdatedinformationandservices,islocatedontheWorldWideWebat:http://circ.ahajournals.org/cgi/content/full/123/1/1042.AF临床评估(1)是否有相伴疾病，如高血压、冠心病、心衰、糖尿病、卒中、COPD、外周血管病等(2)是否有诱发因素，如体力活动、精神刺激、酗酒等(3)AF症状是轻还是重(严重性按HERA评分)，是否有血流动力学障碍(4)AF发作次数多还是少，持续时间短
