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基于治疗手段的进展及社会老龄化的增长,心力衰竭(心衰)与心房颤动(房颤)越来越普遍,临床常见两者伴随发生。研究证实,神经内分泌系统的激活、心脏电机械因素的变化及细胞内外环境的改变等因素共同形成心衰和房颤发生与维持的特殊环境,两者相互促进,形成恶性循环。心衰与房颤极大降低了患者的生存质量,是两大常见危害人类健康生活的心血管疾病。该文总结了心衰与房颤各自的流行病学、两者之间的相互联系(包括共同的危险因素、两者的相互作用及两者合并时的预后情况)及目前有效的治疗手段(包括有争议的控制节律与室率、起搏器及射频消融治疗),为心衰与房颤的临床研究及治疗提供新思路。
Based on the progress of treatment and the growth of social aging, heart failure (heart failure) and atrial fibrillation (atrial fibrillation) are more and more common, and both are common in clinical practice. Studies have confirmed that activation of the neuroendocrine system, changes in cardiac electromechanical factors and changes in the environment inside and outside the cell and other factors together to form a special environment for the occurrence and maintenance of heart failure and atrial fibrillation, the two promote each other to form a vicious circle. Heart failure and atrial fibrillation greatly reduce the quality of life of patients, is the two common cardiovascular diseases that endanger the health of human beings. This paper summarizes the respective epidemiology of heart failure and atrial fibrillation, the interrelationship between the two (including common risk factors, the interaction between the two and the prognosis of the combination) and the current effective treatment ( Including controversial control rhythm and ventricular rate, pacemaker and radiofrequency ablation treatment), provide new ideas for the clinical research and treatment of heart failure and atrial fibrillation.