作者：欧阳顺斌，何贵新，秦伟彬，吴成强，林琳，王明远，刘善萍，詹玲君

单位：

1.广西中医药大学2.广西中医药大学第一附属医院心血管内科二区

Units：

1.Guangxi University of Chinese Medicine, Nanning 530000, China 2.The Second Cardiovascular District, the First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning 530000, China

关键词：

心房颤动; f波振幅; 体表心电图; 诊断; 导管消融术; 综述;

Keywords：

Atrial fibrillation; f-wave amplitude; Surface electrocardiogram; Diagnosis; Catheter ablation; Review

CLC：

R 541.75

DOI：

10.12114/j.issn.1008-5971.2023.00.060

Funds：

广西重点研发计划项目（桂科AB19110006）； 广西中医药大学第一附属医院第二批医疗技术团队建设项目；

摘要：

心房颤动是临床常见的心律失常类型，是造成患者残疾、死亡及增加社会医疗负担的主要原因之一。近年来体表心电图作为一个简单、快捷、无创的心房颤动诊断工具，能及时、简便地检测心房颤动的发展变化。f波是体表心电图捕捉到的细小波动，是诊断心房颤动的心电图依据之一，其振幅能很好地反映心房颤动患者的心房功能，有助于降低导管消融术后复发率。本文主要综述了体表心电图f波振幅形成相关机制及其在心房颤动诊断、导管消融术、药物研究中的应用，以期提高临床医生对心房颤动的诊治水平。

Abstract：

　Atrial fibrillation is a common type of arrhythmia in clinical practice, which is one of the main causes of disability, death and increased social medical burden. In recent years, as a simple, fast and non-invasive diagnostic tool for atrial fibrillation, surface electrocardiogram can detect the development and changes of atrial fibrillation in a timely and simple manner. The f-wave is a small fluctuation captured by the surface electrocardiogram, which is one of the electrocardiogram basis for the diagnosis of atrial fibrillation. The f-wave amplitude can better reflect the atrial function of patients with atrial fibrillation and help to reduce the recurrence rate after catheter ablation. This article mainly reviews the mechanism of f-wave amplitude formation in surface electrocardiogram and its application in the diagnosis, catheter ablation and drug research of atrial fibrillation, in order to improve the diagnosis and treatment of atrial fibrillation by clinicians.

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