临床处理心室率显著增快的心房颤动(下称房颤)时,多先以毛地黄控制心室率,然后再考虑转复心律,而往往忽视了对病因和其他病症的处理。这样不仅可导致复律困难,而且复律后窦性心律难以维持,甚至会产生更严重的后果。本文介绍四例忽视对房颤病因治疗的教训,以强调对其病因和其他病症治疗的重要性。例1:女,50岁。因阵发心悸伴胸疼2 Clinical treatment of atrial fibrillation significantly increased ventricular rate (hereinafter referred to as atrial fibrillation), the more first to control ventricular rate of hair yellow, and then consider the rehabilitation of heart rhythm, and often ignore the cause and other symptoms of treatment. This can not only lead to difficulty in cardioversion, and sinus rhythm after cardioversion difficult to maintain, and even more serious consequences. This article describes four cases that neglect the treatment of the cause of atrial fibrillation to emphasize the importance of the treatment of their etiology and other conditions. Example 1: Female, 50 years old. Because of paroxysmal palpitations with chest pain 2