王潇睿 郑若瑶 孙凤志 张树龙

    【摘要】 心房颤动(房颤)是心血管疾病中最为常见的心律失常，其常与病态窦房结综合征并存且相互作用。既往临床上对于有症状的房颤伴长间歇治疗多倾向于植入心脏起搏器联合抗心律失常药物，但近年来越来越多的研究表明，与植入起搏器相比，射频消融能降低房性心动过速相关心律失常的住院率、有效控制房颤，改善患者预后及心力衰竭住院率。但同时部分患者存在固有窦房结功能障碍(SND)，且SND可在部分患有房颤的患者中逐渐进展及加重。因此，房颤伴长间歇患者的一线治疗策略仍存在争议。本文以房颤伴长间歇治疗策略的选择进行综述。

    【关键词】 心房颤动；病窦综合征；窦性停搏，心脏；心脏起搏器，人工；消融技术

    【中图分类号】 R 541.75 【文献标识码】 A DOI：10.12114/j.issn.1007-9572.2023.0826

    Treatment Strategies for Atrial Fibrillation with Long Interval：Consensus and Controversy

    WANG Xiaorui1，ZHENG Ruoyao2，SUN Fengzhi1，ZHANG Shulong1*

    1.Department of Circulation，Zhongshan Hospital Affiliated to Dalian University，Dalian 116000，China

    2.Cangzhou People's Hospital，Cangzhou 061002，China

    *Corresponding author：ZHANG Shulong，Chief physician；E-mail：zhangshulongmd@sina.com

    【Abstract】 Atrial fibrillation(AF)is the most common arrhythmia in cardiovascular disease，and it often coexists and interacts with sick sinus syndrome. In the past，pacemaker implantation combined with antiarrhythmic drugs was preferred for symptomatic atrial fibrillation with long interval treatment. However ......