The most important research of treatment of atrial fibrillation (AF) is catheter ablation and drug therapy. In the past decade, catheter ablation made a rapid progress and became the most promising method to treat AF. But in the last few years, the development of ablation of AF seemed to be slow. The success rate of ablation of paroxysmal AF was not increased in recent years and the effects of ablation on persistent AF and longstanding persistent AF were even lower. In china, though the AF patients' number who accepted ablation was increased rapidly in the past decade, the success rate, especially the long-term success rate need to be roused. While the drug therapy seemed developing very quickly. Actually, ablation is superior to drugs according to most clinical research. The CABANA study reported in 2010 showed that,compared with optimal drug therapy,catheter ablation reduced the recurrence rate of AF. In CABANA study,60 AF patients randomized to drug therapy (87% accepted AADs, 13% accepted rate control
作者:黄从新
来源:中华心律失常学杂志 2011 年 15卷 4期