心房颤动是临床上最常见的持续性心律失常,近年来研究表明心房重构是心房颤动发生和维持的中心环节,心房重构包括电重构和结构重构,然而心房重构确切的机制尚未完全明确。近年来的研究表明,醛固酮与心房重构有着密切的关系。文章综述了醛固酮影响心房重构的机制以及醛固酮受体拮抗剂治疗心房重构的研究。 Atrial fibrillation is the most common clinical arrhythmia in recent years, studies have shown that atrial remodeling is the central link in the occurrence and maintenance of atrial fibrillation, atrial remodeling, including electrical remodeling and structural remodeling, however, the exact mechanism of atrial remodeling has not yet Completely clear. In recent years, studies have shown that aldosterone and atrial remodeling has a close relationship. This article reviews the mechanism of aldosterone affecting atrial remodeling and the study of aldosterone receptor antagonist in the treatment of atrial remodeling.