【心房颤动射频导管消融技术标准:一系列联合标准】。

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引用次数: 0

摘要

心房颤动(AF)已成为21世纪全球主要的心血管疾病。在中国,房颤患者超过1200万,且发病率持续上升。房颤影响患者的生活质量,并显著增加死亡、中风、心力衰竭、认知障碍和痴呆的风险。近年来,多个临床指南扩大了导管消融的适应症,并提高了其推荐水平。与此同时,中国房颤消融手术的数量也在快速持续增长。其中,射频导管消融仍然是最常用的方法。因此,中国生物医学工程学会中国心律学会与40个心律失常中心和60位专业从事房颤导管消融的领先临床专家合作,制定了一套全面的标准。这些标准是根据近年来积累的广泛临床经验以及最新的国家和国际AF指南和共识文件制定的。他们涉及五个关键领域:围手术期管理、房间隔穿刺、解剖重建和电解剖定位、消融、并发症识别和管理。通过提供一个结构化的框架,这些标准旨在指导房颤导管消融实践,从而提高手术安全性和有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Technical standards for performing radiofrequency catheter ablation for atrial fibrillation: a series of consortium standards].

Atrial fibrillation (AF) has emerged as a major global cardiovascular disease in the 21st century. In China, there are greater than 12 million patients with AF, and its incidence continues to rise. AF affects patients' quality of life and significantly increases the risks of mortality, stroke, heart failure, cognitive impairment, and dementia. In recent years, multiple clinical guidelines have expanded the indications for catheter ablation and raised its level of recommendation. Concurrently, there has been a rapid and sustained increase in the number of AF ablation procedures performed across China. Among these, radiofrequency catheter ablation remains the most used method. Consequently, the Chinese Heart Rhythm Society of the Chinese Society of Biomedical Engineering, in collaboration with 40 arrhythmia centers and 60 leading clinical experts specializing in AF catheter ablation, developed a comprehensive set of standards. These standards were developed based on extensive clinical experience accumulated in recent years and the latest national and international AF guidelines and consensus documents. They address five critical domains: periprocedural management, intra-atrial septal puncture, anatomical reconstruction and electroanatomic mapping, ablation, and complication identification and management. By providing a structured framework, these standards aim to guide AF catheter ablation practice, thereby enhancing procedural safety and efficacy.

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