伊伐布雷定联合比索洛尔治疗房颤射频消融术后不适当窦性心动过速1例报道及文献复习
One Case Report and Literature Review on the Combination of Ivabradine and Bisoprolol in the Treatment of Inappropriate Sinus Tachycardia after Radiofrequency Ablation for Atrial Fibrillation
摘要: 目的：分析1例经伊伐布雷定联合比索洛尔治疗的房颤射频消融术后不适当窦性心动过速患者的心电图表现、冠脉造影检查及诊疗经过，为该病的临床诊断及治疗提供依据。方法：收集1例经房颤射频消融术后产生不适当窦性心动过速患者的临床资料、实验室检查、心电图表现和冠脉造影检查，给予伊伐布雷定联合比索洛尔口服，并记录其诊疗过程，进行随访。结合相关文献复习，分析伊伐布雷定联合比索洛尔对于房颤射频消融术后不适当窦性心动过速患者的疗效及预后。结果：患者1年前因持续性心房纤颤于北京安贞医院行房颤射频消融术，术后出现窦性心动过速，来我院经相关检查积极查找病因，最终诊断为“不适当窦性心动过速”，给予伊伐布雷定联合比索洛尔治疗，效果显著。结论：伊伐布雷定联合比索洛尔对于治疗房颤射频消融术后不适当窦性心动过速有明显疗效。
Abstract: Objective: To analyze the electrocardiogram manifestations, coronary angiography examination, and diagnosis and treatment process of a patient with inappropriate sinus tachycardia after radiofrequency ablation of atrial fibrillation treated with ivabradine combined with bisoprolol, in order to provide a basis for the clinical diagnosis and treatment of this disease. Method: Collect clinical data, laboratory tests, electrocardiogram findings, and coronary angiography of a patient with inappropriate sinus tachycardia after radiofrequency ablation of atrial fibrillation. Administer ivabradine combined with bisoprolol orally, record the diagnosis and treatment process, and follow up. Combining relevant literature review, analyze the efficacy and prognosis of ivabradine combined with bisoprolol in patients with inappropriate sinus tachycardia after radiofrequency ablation for atrial fibrillation. Result: One year ago, the patient underwent real estate radiofrequency surgery for persistent atrial fibrillation at Beijing Anzhen Hospital. After the surgery, sinus tachycardia occurred. The patient came to our hospital and actively searched for the cause through relevant examinations. The final diagnosis was “inappropriate sinus tachycardia” and was treated with ivabradine combined with Bisoprolol, with significant results. Conclusion: The combination of ivabradine and bisoprolol has a significant therapeutic effect on inappropriate sinus tachycardia after radiofrequency ablation for atrial fibrillation.
文章引用：刘梦丹, 郭功亮. 伊伐布雷定联合比索洛尔治疗房颤射频消融术后不适当窦性心动过速1例报道及文献复习[J]. 临床医学进展, 2026, 16(5): 2633-2640. https://doi.org/10.12677/acm.2026.1652073

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