[AF-FORUM] 18E 肥厚型心肌病合并房颤患者的射频消融 Dr Prim

[AF Symposium]

尊敬的先生，

我很想知道射频消融是否可以治疗肥厚型心肌病合并 
房颤患者。该患者是一名50岁男性，他从21-22岁开始 
就是持续性房颤了。目前没有不适症状，室间隔厚度 
15mm，左房58mm，左室舒张功能减退伴有轻度二尖瓣返 
流。由于服用b-受体阻滞剂和钙拮抗剂导致生活质量 
下降，想停用上述两种药物，此外，他胺碘酮治疗无 
效后已接受两次电复律。
致谢
Dr. Nirmal Prim <nirmalprim在yahoo.co.in>
--------
Dr. Sergio Dubner
科委会主席

Dr. Edgardo Schapachnik
组委会主席
译者：赵勤华  王玲洁校
上海交通大学医学院附属瑞金医院

original
18E Ablation for a-fib in an HCM patient. Dr Prim
Sir,
I would like to know if radiofrequency ablation would help a patient
with HCM .He has been in persistent AF since 21/2 yrs. He is 50 yrs
male has no gradient, asymptomatic, septal thickness 15 mm, LA is 58
mm. Has diastolic dysfunction with mild MR. Would like to be off b
blockers and ca chanell blockers which are causing decreased quality
of life. He has been cardioverted 2 times after failed Amioderone
therapy.
thank you
Dr. Nirmal Prim <nirmalprim在yahoo.co.in>
--
Dr. Sergio Dubner
President of Scientific Committee

Dr. Edgardo Schapachnik
President of Steering Committee