心房颤动(简称房颤)是老年人最常见的心律失常之一,老年人房颤的治疗策略主要包括病因或诱因的治疗、节律控制、控制房颤心室率、抗凝、预防血栓栓塞事件。病因和诱因的治疗是房颤治疗的基础,在有条件的情况下尽量恢复窦性心律并维持,无条件的病人可以考虑节律控制同时抗凝治疗。预防栓塞是老年房颤治疗的核心,华法林仍然是目前使用最为广泛的抗凝药,新型口服抗凝有着其独到的优点,但仍需要考虑其个体化方案。有待进一步观察。 Atrial fibrillation (AF) is one of the most common arrhythmias in the elderly. The treatment strategies of AF mainly include the treatment of etiology or predisposition, rhythm control, ventricular rate control of atrial fibrillation, anticoagulation and thromboembolism prevention. Etiology and causes of treatment is the basis for the treatment of atrial fibrillation, as far as possible under the conditions of sinus rhythm recovery and maintenance, unconditional patients can consider rhythm control and anticoagulant therapy. Prevention of embolism is the core of the treatment of elderly patients with atrial fibrillation, warfarin is still the most widely used anticoagulant, the new oral anticoagulation has its own unique advantages, but still need to consider its individual programs. Pending further observation.