中西医药发展

房间传导阻滞与心房颤动的关系及其治疗进展

张 凌宇

重庆医科大学附属第一医院

贾 锋鹏

重庆医科大学附属第一医院

DOI: https://doi.org/10.59429/zxyy.v3i2.13905

Keywords: 房间传导阻滞；心房颤动；电生理机制；风险预测；起搏治疗

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Abstract

房间传导阻滞（IAB）是一种以心房间冲动传导延迟为特征的心电现象，典型表现为体表心电图上 P 波时限延长≥ 120 ms。近年来，多项研究证实 IAB 与心房颤动（AF）的发生、发展及预后密切相关。IAB 可导致心房间电激动不同步，进而促进心房电重构与结构重构，从而参与 AF 的发生与维持。本文旨在系统综述 IAB 与 AF 在流行病学、病理生理机制及治疗策略方面的最新研究进展。

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