心房颤动去神经治疗的临床效应

Clinical efficiency of ganglionated plexus ablation for atrial fibrillation: a review

摘要:

构成心脏自主神经系统的交感神经与迷走（副交感）神经在房颤（AF）的发生与维持中起着重要的作用，由此以心房神经丛（GP）消融为主的去神经治疗亦成为AF单独或辅助的介入疗法之一。然而GP消融带来的神经与心房重构现象也日益受到关注。

Abstract:

The cardiac autonomic nervous system (ANS) which consists of sympathetic and vagal (parasympathetic) nerves plays an important role in the initiation and maintenance of atrial fibrillation (AF). Catheter ablation focusing on atrial ganglionated plexus (GP) has become the first-line or adjuvant therapeutic strategy for AF. However, there is of growing concern about the nervous and atrial remodeling induced by GP ablation.