心房颤动的诊断与药物治疗中国专家共识

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:20082723()(,100730)[];;;:R54117+5:A:10092816X(2008)0420215208(),,,,;,1,;(paroxysmalAF)(persistentAF)(permanentAF):7d,24h,:7d,,,:,,(recentonset)(recentdiscovered),,,(1)(1)60,()(),,,1117d,24h;217;311()()()()()2014%110%,60,808%40011%/,802%/115%/5122008884,,5%/,27(TIA),7%/,17;,5,5059115%,8089231%,(NYHA),5%,,,,,,3,0161%,10001/3,2/3,1219%6512%2119%,,5811%,4013%3418%3311%2319%,70,513%,(4%6%)2418%,,803219%;,,(INR),4411:,412:,Holter,,,413:P,,,RRRR,RR310s,RR,RR,414X:,,,X415:Ic612PreventionandTreatmentofCardio2Cerebral2VascularDiseaseAug20081Vol81No45511:51111::,(),,,,51112::(1);(2);(3);(4):(5);(6)(7),,,,,,AFFIRM(TheAtrialFibrillationFollow2upInvestigationofRhythmManagement,),,(1):,,,48,,,(2):,,,,,,,(3):;,,:;(65)(55mm),51113:,,,,,,,,:7550mm,,(-),,51251211:,,24,6080/,90115/51212:,7122008884,,,,22:2155mg,2,35minBp,HR,,,0125mg/kg,327min515mg/hBp,,010750115mg/kg,51035minBp,,015mg/kg,1,55min50vg/(kgmin)Bp,HR,,,150mg,105min0151mg/minBp,()014mg4050min,HR,12mg/kg,5Bp,HR,,,:25100mg,246h3060mg,3424h100200mg,346090min012,3,1012,2,1012,1,011012,1,,,,,80160mg,312h011250125mg,112h:BP:;HR:,,,,,/51213:,,,51351311:1020%,,(3)();75(FF¸35%FS¸25%)6574812PreventionandTreatmentofCardio2Cerebral2VascularDiseaseAug20081Vol81No4375TIA80325mg/d657480325mg/d(INR:210310,215)3(INR:210310,215)335%:3,INR21551312:,,,2(INR:210310)11(80325mg)(INR:210310),80325mgINR2156051313:(1):48,34(INR:210310)48(),,48,,,(80iu/kg)(18iu/kgh),(APTT)1152(INR:2103.0)4(2):(3):,,,(4):,APTT1152,(5):(INR:210310),,(6):(INR:210310),(7)75:INR116215(8):(PCI),,,,PCI,(75mg)(INR:210310),,,1,3,6,12,,(9)INR210310,,INR310315(10):,,3IAPTT1152,1212,6APTT115,451314:9122008884(1)2153mg/d,24d,57d(2)INR,INR2,2,12,1(3)INR,INR115,,310,(4)INRINR310,210(5)115mg/d,INR,,,INR(6)INR:INR:K1INR510,,INR,12,,INR510910,,12,INR,,K1(1215mg)INR,25mgK1,INR24INR910,25mgK1,2010,K110mg,12K1,,K110mg,(7):,()(K),514:,,,48,51411:,,R,100J,,,,51412:724487,,(600mg),,QTBrugada,,442222(Ccr)Ccr60ml/min:015mg,,Ccr4060ml/min:0125mg,,Ccr2040ml/min:01125mg,,Ccr20ml/min:QT,1mg,10QT,1mgQT,022PreventionandTreatmentofCardio2Cerebral2VascularDiseaseAug20081Vol81No451413:,,,,,,,,Ic,,,11,,,(2)(),26(A2CEI)(ARB),,,,,ACEI7711:,,:712:,1222008884,IC713(WPW):WPW,,,714:,715:716:717:,,(),(,310013)(),:,;,,,,,,,,2002Dr.RandallWolf(Mini2maze),,,Mini2maze3,,(AtricureTM),,,,:(1),;;:;(2),;(3)X,;(4),,,()(5),,,,(6),,60,3,13,,37,(7)::,,6,9113%,;280%;(8),:111880;21;31,,;41,;5130%;61;71,(TIA);81()222PreventionandTreatmentofCardio2Cerebral2VascularDiseaseAug20081Vol81No4

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