When viewing this topic in a different language, you may notice some differences in the way the content is structured, but it still reflects the latest evidence-based guidance.

新发心房颤动

  • Overview
  • Theory
  • Diagnosis
  • Management
  • Follow up
  • Resources
Last reviewed: 13 Feb 2025
Last updated: 21 Apr 2021

Summary

Definition

History and exam

Key diagnostic factors

  • 存在的危险因素
  • 脉率不规则
Full details

Other diagnostic factors

  • 心悸
  • 低血压
  • 颈静脉压升高。
  • 额外心音
  • 头晕
  • 呼吸困难
  • 啰音
  • 卒中征兆
Full details

Risk factors

  • 年龄增长
  • 糖尿病
  • 高血压
  • 充血性心力衰竭
  • 心脏瓣膜病
  • 冠状动脉病变 (CAD)
  • 其他房性心律失常
  • 心胸外科手术
  • 甲状腺功能亢进
  • 缺氧性肺病
  • 酒精中毒
  • 肥胖
  • 吸烟
  • 炎症性疾病
Full details

Diagnostic investigations

1st investigations to order

  • 心电图 (ECG)
  • 血清电解质
  • 心脏生物标志物
  • 甲状腺功能检测
  • 胸部 X 线检查（CXR）
  • 经胸超声心动图
  • 经食道超声心动图 (TOE)
Full details

Investigations to consider

  • 电生理学检查
  • 运动负荷试验
Full details

Treatment algorithm

INITIAL

血流动力学不稳定

ACUTE

血流动力学稳定的心房颤动伴左心房血栓

血流动力学稳定，无左心房血栓：症状发作＜48 小时

血流动力学稳定，无左心房血栓：症状发作≥48 小时

血流动力稳定，无左心房血栓：无症状

Contributors

Authors

Arti N. Shah, MS, MD

Director

Cardiac Electrophysiology

Elmhurst Hospital Center

Elmhurst

Assistant Professor of Medicine

Mount Sinai School of Medicine

New York

NY

Declarações

ANS is an author of a number of references cited in this topic.

Bharat K. Kantharia, MD, FRCP, FAHA, FACC, FESC, FHRS

Cardiovascular and Heart Rhythm Consultant

Attending and Consultant Cardiac Electrophysiologist

Mount Sinai Hospitals

New York Methodist Hospital

New York

NY

West Houston Medical Center

Memorial Hermann Hospital

Houston

TX

Disclosures

BKK is an author of a number of references cited in this topic.

Peer reviewers

Diwakar Jain, MD, FACC, FRCP, FASNC

Professor of Medicine (Cardiology)

Westchester Medical Center

Valhalla

NY

Disclosures

DJ declares that he has no competing interests.

Farooq A. Padder, MD, MRCP, FACC

Assistant Professor of Medicine

Hahnemann University Hospital

Woodbury

NJ

Disclosures

FAP declares that he has no competing interests.

Kim Rajappan, MA, MD, MRCP

Consultant Cardiologist and Electrophysiologist

Cardiac Department

John Radcliffe Hospital

Oxford

UK

Disclosures

KR declares that she has no competing interests.

  • 新发心房颤动 images

  • Differentials

    • 心房扑动
    • 预激综合征
    • 房性心动过速
    More Differentials

  • Guidelines

    • 2019 年 AHA/ACC/HRS 关于 2014 年 AHA/ACC 瓣膜性心脏病患者管理指南的重点更新
    • 2018 年加拿大心血管学会心房颤动管理指南重点更新
    More Guidelines

  • Patient information

    Atrial fibrillation: what is it?

    Atrial fibrillation: what treatments work?

    More Patient information

  • Calculators

    房颤 CHA(2)DS(2)-VASc 卒中风险评分

    HAS-BLED 出血风险评分

    More Calculators

  • Videos

    关于如何进行心电图的动画演示

    More videos
  • padlock-lockedLog in or subscribe to access all of BMJ Best Practice

Use of this content is subject to our disclaimer