[AF-FORUM] 162E 心房附壁血栓－Crijns医师

[AF Symposium]

因该患者为无症状性房颤，节律控制不能获益，故我 
同您一样坚持对该患者进行抗凝治疗。然而，对该患 
者务必随访心超以检测心动过速型心肌病可能，此类 
心肌病可隐匿发作，尤其是在未进展为心肌病前心律 
失常无症状者中更应注意这种可能。我认为心超随访 
一年后未发现左室功能降低者其发展为（迟发）心动 
过速型心肌病的可能性降低。尽管如此，我还是倾向 
于对病人进行至少一年的随访。

Harry Crijns
Prof. dr. HJGM Crijns
荷兰，Maastricht大学医院，
心脏科教授
--
Dr. Sergio Dubner
科委会主席
Dr. Edgardo Schapachnik
组委会主席
                                           张欣  译    王玲洁  校




162E Atrial appendage thrombus. Dr. Crijns
I would also keep this patient on OAC, as you did, since the patient  
is asymptomatic rhythm control will not brring any benefit, however,  
it is mandatory that you follow the patient echocardiographically to  
detect tachycardiomyopathy which may occur insidously especially in  
pts who are otherwise not symptomatic with their arrhythmia. I guess  
at the follow-up echocardiography after one year you did not see  
decrease of LV function and - I think - then the chances patients  
develop (late onset) TCMP is probably low. Nevertheless, I would  
follow a little longer than 1 year.

Harry Crijns
Prof. dr. HJGM Crijns
Chair Department of Cardiology
University Hospital Maastricht
The Netherlands
----
Dr. Sergio Dubner
President of Scientific Committee

Dr. Edgardo Schapachnik
President of Steering Committee