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预激综合征合并心房颤动的诊治进展
引用本文:黄晓菁,罗章源. 预激综合征合并心房颤动的诊治进展[J]. 心血管病学进展, 2011, 32(3): 328-331. DOI: 10.3969/j.issn.1004-3934.2011.03.009
作者姓名:黄晓菁  罗章源
作者单位:1. 上海交通大学医学院附属仁济医院心内科,上海,200001
2. 杰升生物科技(上海)有限公司,上海,200235
摘    要:预激综合征(WPW)合并心房颤动(房颤)可引起快速心室反应,发展为心室颤动,使血流动力学恶化,危及生命,因此及时诊断和合理治疗WPW合并房颤具有重要临床意义。现对WPW并发房颤可能与旁路电生理特性、旁路对心房电生理的影响、旁路逆传致波峰碰撞等因素有关的机制;在心电图上的诊断特点;电复律治疗的适应证和注意事项;普罗帕酮、胺碘酮、伊布利特等的药物治疗;射频消融治疗及术后的复发随访进行综述。

关 键 词:预激综合征  心房颤动  心电图诊断  药物治疗  胺碘酮

Atrial Fibrillation and Wolff-Parkinson-White Syndrome: Progression of Diagnosis and Treatment
HUANG Xiao-jing,LUO Zhang-yuan. Atrial Fibrillation and Wolff-Parkinson-White Syndrome: Progression of Diagnosis and Treatment[J]. Advances in Cardiovascular Diseases, 2011, 32(3): 328-331. DOI: 10.3969/j.issn.1004-3934.2011.03.009
Authors:HUANG Xiao-jing  LUO Zhang-yuan
Affiliation:HUANG Xiao-jing1,LUO Zhang-yuan2,CHEN Ying-min1(1.Department of Cardiology,Renji Hospital Medical School,Shanghai Jiaotong University,Shanghai 200001,China,2.Genix Biotek Science Technology(Shanghai) Co.Ltd.,Shanghai 200235,China)
Abstract:Wolff-Parkinson-White syndrome(WPW) with atrial fibrillation(Af) may induce a fast ventricular response then deteriorate into ventricular fibrillation.It is very important to promptly diagnose and treat WPW with Af.This article has reviewed the mechanism of WPW with Af related from its initial electrophysiologic properties through diagnosis,treatment and finally post operative care.
Keywords:Wolff-Parkinson-White syndrome  atrial fibrillation  ECG diagnosis  amiodarone  
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