The Treatment of Recurrence after Catheter Ablation of Atrial Fibrillation from the Perspective of “Stasis Generating Deficiency”
10.13288/j.11-2166/r.2023.19.017
- VernacularTitle:从“瘀结生虚”论治心房颤动导管消融术后复发
- Author:
Mingxuan LI
1
;
Hongdian LI
2
;
Hongxu LIU
1
;
Wenlong XING
1
;
Xiaolei LAI
1
Author Information
1. Beijing Hospital of Traditional Chinese Medicine， Capital Medical University， Beijing， 100010
2. Beijing University of Chinese Medicine
- Publication Type:Journal Article
- Keywords:
atrial fibrillation;
catheter ablation;
stasis generating deficiency
- From:Journal of Traditional Chinese Medicine
2023;64(19):2041-2044
- CountryChina
- Language:Chinese
-
Abstract:
“Stasis generating deficiency” is considered to be an important pathogenesis of recurrence after catheter ablation of atrial fibrillation （AF）. Blood stasis is commonly seen after ablation together with various pathogens such as phlegm-fire， qi stagnation and retained fluid， and will lead to depletion of zang-fu （脏腑） organs and then the failure of the nourishment of the heart. Therefore， it is advised to emphasize on the importance of considering zang-fu organs depletion caused by blood stasis and various excess pathogens in dealing with the recurrence after catheter ablation. The method of dissolving stasis and supplementing deficiency simultaneously has been proposed before catheter ablation， and it is critical to calm heart and dissolve stasis， regulate and supplement internal deficiency so as to prevent the postoperative recurrence of AF. For recurrence of AF after ablation， attention should be paid to dissolving stasis and dispelling pathogens， regulating vessels and supplementing deficiency， as well as the excess pathogens such as stasis binding and phlegm fire， stasis binding and qi stagnation， stasis binding and retained fluid， and the depletion of zang-fu organs should be considered. Accordingly， the method of dissolving stasis and dispelling phlegm， subduing fire and unblocking vessels， regulating and supplementing heart and spleen； dissolving stasis and move stagnation， unblocking qi and blood， supplementing lung and boosting qi； dispelling stasis and dissolving rheum， warming yang and activating blood， consolidating the root and nourishing heart can be used respectively， so as to treat both the root and the branch simultaneously.
