房颤能根治吗 尹晓隽 河南中医药大学第三附属医院

房颤能根治吗 尹晓隽 河南中医药大学第三附属医院
房颤病人能否根治这和房颤的分型和引起房颤的病因有关。前面我们已经谈了很多房颤；房颤的类型它分为阵发性、持续性、永久性，不同的类型治疗预后是不同的，如果是永久性房颤因为它都伴有器质性的心脏病就很难转复成正常的窦性心律，所以根治是不可能的，对于持续性房颤我们一定要通过心脏的超声动态心电图和心脏的其他检查来寻找病因。如果是心脏的瓣膜病严重的冠心病扩张型心肌病以及先天性心脏病或者是左心房非常大的病人，房颤就很难转复即使通过药物或者手术转复成窦性心律也很难维持到正常的心率，只能选择过减慢心室率的药物如倍他乐克、地尔硫卓等，保证心脏的泵血功能。如果是继发于甲亢的房颤，甲亢控制后房颤自然就恢复正常了。还有就是基础心脏病不是很严重的房颤发病时间也不长，我们可以通过内科药物和外科手术是可以治愈的，对于阵发性房颤不伴有器质性心脏病或者是持续时间不长的，内科消融是可以根治的。

Can atrial fibrillation be cured
Whether AF patients can be cured is related to the classification of AF and the cause of AF. We’ve talked a lot about AF before; The types of AF are paroxysmal, persistent and permanent, Different types of treatment have different prognosis, If it’s permanent atrial fibrillation, because it’s accompanied by organic heart disease, it’s difficult to convert into normal sinus rhythm, So a radical cure is impossible, For persistent atrial fibrillation, we must look for the cause of atrial fibrillation through the echocardiography of the heart and other examinations of the heart. If it’s valvular heart disease, coronary heart disease, dilated cardiomyopathy, congenital heart disease, or very large left atrium, Atrial fibrillation is difficult to recover. Even if it is converted to sinus rhythm by drugs or surgery, it is difficult to maintain normal heart rate, We can only choose drugs that slow down the ventricular rate, such as betaloc and diltiazem, Ensure the pumping function of the heart. If it’s AF secondary to hyperthyroidism, After hyperthyroidism control, atrial fibrillation naturally returned to normal. And even if the basic heart disease is not very serious, the onset time of AF is not long, We can be cured through medicine and surgery, For paroxysmal AF without organic heart disease or for a short period of time, Medical ablation can be cured.