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1、ACC/AHA/ESC PRACTICE GUIDELINESFULL TEXTACC/AHA/ESC Guidelines for theManagement of Patients With Atrial FibrillationA Report of the American College of Cardiology/AmericanHeart Association Task Force on Practice Guidelines and theEuropean Society of Cardiology Committee for PracticeGuidelines and P
2、olicy Conferences(Committee to DevelopGuidelines for the Management of Patients With Atrial Fibrillation)Developed in Collaboration With the North American Society of Pacing and ElectrophysiologyCOMMITTEE MEMBERSVALENTIN FUSTER,MD,PHD,FACC,ChairLARS E.RYDEN,MD,PHD,FACC,FESC,Co-ChairRICHARD W.ASINGER
3、,MD,FACCDAVID S.CANNOM,MD,FACCHARRY J.CRIJNS,MD,FESCROBERT L.FRYE,MD,MACCJONATHAN L.HALPERIN,MD,FACCG.NEAL KAY,MD,FACCWERNER W.KLEIN,MD,FACC,FESCSAMUEL LEVY,MD,FACC,FESCROBERT L.MCNAMARA,MD,MHS,FACCERIC N.PRYSTOWSKY,MD,FACCL.SAMUEL WANN,MD,FACCD.GEORGE WYSE,MD,PHD,FACCTASK FORCE MEMBERSRAYMOND J.GIB
4、BONS,MD,FACC,ChairELLIOTT M.ANTMAN,MD,FACC,Vice ChairJOSEPH S.ALPERT,MD,FACCDAVID P.FAXON,MD,FACCVALENTIN FUSTER,MD,PHD,FACCGABRIEL GREGORATOS,MD,FACCLOREN F.HIRATZKA,MD,FACCALICE K.JACOBS,MD,FACCRICHARD O.RUSSELL,MD,FACC*SIDNEY C.SMITH,JR,MD,FACCESC COMMITTEE FOR PRACTICE GUIDELINES&POLICY CONFEREN
5、CES MEMBERSWERNER W.KLEIN,MD,FACC,FESC,ChairANGELES ALONSO-GARCIA,MD,FACC,FESCCARINA BLOMSTROM-LUNDQVIST,MD,PHD,FESCGuy DEBACKER,MD,PHD,FACC,FESCMARCUS FLATHER,MD,FESCJAROMIR HRADEC,MD,FESCALI OTO,MD,FACC,FESCALEXANDER PARKHOMENKO,MD,FESCSIGMUND SILBER,MD,PHD,FESCADAM TORBICKI,MD,FESCThisdocumentwas
6、approvedbytheAmericanCollegeofCardiologyBoardofTrusteesinAugust 2001,the American Heart Association Science Advisory and Coordinating Commit-tee in August 2001,and the European Society of Cardiology Board and Committee forPractice Guidelines and Policy Conferences in August 2001.When citing this doc
7、ument,the American College of Cardiology,the American HeartAssociation,and the European Society of Cardiology would appreciate the following citationformat:Fuster V,Ryde n LE,Asinger RW,Cannom DS,Crijns HJ,Frye RL,Halperin JL,Kay GN,Klein WW,Le vy S,McNamara RL,Prystowsky EN,Wann LS,Wyse DG.ACC/AHA/
8、ESC guidelines for the management of patients with atrial fibrillation:a reportof the American College of Cardiology/American Heart Association Task Force on PracticeGuidelines and the European Society of Cardiology Committee for Practice Guidelines andPolicyConferences(CommitteetoDevelopGuidelinesf
9、ortheManagementofPatientsWithAtrial Fibrillation).J Am Coll Cardiol 2001;38:1266ilxx.This document is available on the World Wide Web sites of the American College ofCardiology(www.acc.org),the American Heart Association(www.americanheart.org),theEuropean Society of Cardiology(www.escardio.org),and
10、the North American Society ofPacing and Electrophysiology(www.naspe.org).Single reprints of this document(thecompleteGuidelines)tobepublishedinthemid-OctoberissueoftheEuropeanHeartJournalareavailablebycalling144.207.424.4200or144.207.424.4389,faxing144.207.424.4433,orwriting Harcourt Publishers Ltd,
11、European Heart Journal,ESC Guidelines Reprints,32Jamestown Road,London,NW1 7BY,United Kingdom.Single reprints of the shorterversion(Executive Summary and Summary of Recommendations)published in the Octoberissue of the Journal of the American College of Cardiology and the October issue ofCirculation,
12、are available for$5.00 each by calling 800-253-4636(US only)or by writing theResource Center,American College of Cardiology,9111 Old Georgetown Road,Bethesda,Maryland 20814.To purchase bulk reprints specify version and reprint number(ExecutiveSummary 71-0208;full text 71-0209)up to 999 copies,call 8
13、00-611-6083(US only)or fax413-665-2671;1000 or more copies,call 214-706-1466,fax 214-691-6342;or E-mail:pubauthheart.org.*Former Task Force Member during this writing effort.Journal of the American College of CardiologyVol.38,No.4,2001 2001 by the American College of Cardiology,the American Heart As
14、sociation,Inc.,and the European Society of CardiologyISSN 0735-1097/01/$20.00Published by Elsevier Science Inc.PII S0735-1097(01)01586-8TABLE OF CONTENTSPreamble.1266iiiI.Introduction.1266iiiA.Organization of Committee and EvidenceReview.1266iiiB.Contents of These Guidelines.1266ivII.Definition.1266
15、ivA.Atrial Fibrillation.1266ivB.Related Arrhythmias.1266vIII.Classification.1266vIV.Epidemiology and Prognosis.1266viiA.Prevalence.1266viiB.Incidence.1266viiC.Prognosis.1266viiV.Pathophysiological Mechanisms.1266viiiA.Atrial Factors.1266viii1.Pathology of the Atrium in Patients WithAF.1266viii2.Mech
16、anisms of AF.1266ixB.AV Conduction.1266xi1.General Aspects.1266xi2.AV Conduction in the WPW Syndrome.1266xiC.Myocardial and Hemodynamic Consequencesof AF.1266xiiD.Thromboembolism.1266xii1.Pathophysiology of Thrombus Formation.1266xii2.Clinical Implications.1266xiiiVI.Associated Conditions,Clinical Manifestations,and Quality of Life.1266xivA.Causes and Associated Conditions.1266xiv1.Acute Causes of AF.1266xiv2.AF Without Associated Heart Disease.1266xiv3.AF With Associated Heart Disease.1266xiv4.
