脉冲场消融治疗心房颤动的临床应用及研究进展。

IF 2.8 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Frontiers in Cardiovascular Medicine Pub Date : 2025-09-23 eCollection Date: 2025-01-01 DOI:10.3389/fcvm.2025.1679578

Meng Sun, XiaoHong Fu, Jia Gao, Min Guo, Wenjie Yin, Rui Wang

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引用次数: 0

摘要

心房颤动（AF）是最常见的持续性心律失常，与卒中、心力衰竭和死亡风险增加有关。随着导管消融技术的发展，脉冲场消融（PFA）作为一种新型的非热消融方式，因其心肌选择性和良好的安全性而受到越来越多的关注。本文根据最新证据，系统总结了PFA的生物物理原理、临床优势、导管系统、特殊人群应用、局限性和未来发展方向。

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Pulsed field ablation for atrial fibrillation: clinical applications and research advances.

Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia, associated with increased risks of stroke, heart failure, and mortality. With the advancement of catheter ablation technology, pulsed field ablation (PFA), a novel nonthermal ablation modality, has garnered growing attention due to its myocardial selectivity and favorable safety profile. This review systematically summarizes the biophysical principles, clinical advantages, catheter systems, special population applications, limitations, and future directions of PFA based on the latest evidence.

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来源期刊

Frontiers in Cardiovascular Medicine Medicine-Cardiology and Cardiovascular Medicine

CiteScore

3.80

自引率

11.10%

发文量

3529

审稿时长

14 weeks

期刊介绍： Frontiers? Which frontiers? Where exactly are the frontiers of cardiovascular medicine? And who should be defining these frontiers? At Frontiers in Cardiovascular Medicine we believe it is worth being curious to foresee and explore beyond the current frontiers. In other words, we would like, through the articles published by our community journal Frontiers in Cardiovascular Medicine, to anticipate the future of cardiovascular medicine, and thus better prevent cardiovascular disorders and improve therapeutic options and outcomes of our patients.