射频导管消融术治疗心房颤动合并心力衰竭的研究进展

[关键词]心房颤动；心力衰竭;病理生理机制;射频导管消融;节律控制 [中图分类号]：R541.75;R541.6［文献标志码]A[文章编号]2097-5716（2025）04-0620-05 DOI： 10.13308/j.issn.2097-5716.2025.04.026

Research progress on radiofrequency catheter ablation for atrial fibrillation complicated by heart failure LI Xiumei，YANG Zhen²（1.Clinical Medical Colege，Ningxia Medical University，Yinchuan Ningxia ; 2.Heart Center，General Hospital of Ningxia Medical University，Yinchuan Ningxia 75OOO3，China）

[Abstract]Atrial fibrilation（AF）and heart failure（HF）often coexist and interact through complex pathophysiological mechanisms，forming a vicious circle.Given that the concomitant presence of AF and HF could worsen HF symptoms，deteriorate cardiac function，reducequality of life，and even increase stroke risk of patients， resulting in increased hospitalizationrate and all-cause mortality，weshould take aggressive treatment strategies. Rhythm control iscritical inpatientswith AF complicated by HF.Although radiofrequencycatheter ablation has demonstrated significant eficacy in maintaining sinus rhythm，its efficacyon this kind of patients remains unclearat present.This article reviews recent research advances in the epidemiology，pathophysiological mechanisms，and radiofrequency catheter ablation therapy of AF in the context of concomitant HF.

[Key words]atrial fibrilltion；heart failure；pathophysiological mechanism；radiofrequency catheter ablation; rhythm control

心房颤动（简称房颤）和心力衰竭（简称心衰）是心血管疾病中两种常见且严重的病症，二者常常并发，并通过复杂的病理生理机制相互作用，形成恶性循环。（剩余10731字）