Antiarrhythmic treatment is very important for atrial fibrillation. New drugs such as amiodarone analogues, atnal-selective agents, gap junction modifiers and non-anti-arrhythmic drugs have brought new solutions. Catheter ablation technology has developed further,but it has not yet solved the problem. This review discusses the case for antiarrhythmic therapy for atrial fibrillation.%心房颤动抗心律失常治疗尤为重要.胺碘酮类似物、选择性心房离子通道阻滞剂、缝隙连接调节剂、非抗心律失常药物的联合应用给心房颤动的药物治疗带来了新的希望.射频消融不断发展,但仍存在一些问题有待解决.外科Cox-maze-Ⅳ消融术也在不断发展.现就心房颤动抗心律失常的治疗选择作一综述.
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