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Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
Manejo de la fibrilación auricular
Gregory Y H Lip1, Hung-Fat Tse
1University Department of Medicine, City Hospital, Birmingham, UK. g.y.h.lip@bham.ac.uk
Lancet (London, England)
|August 21, 2007
Resumen
La fibrilación auricular es un trastorno del ritmo cardíaco común que aumenta debido al envejecimiento de la población. El manejo moderno se centra en la prevención del accidente cerebrovascular, junto con el control de la frecuencia o el ritmo, con métodos electrofisiológicos que ofrecen posibles curas.
Área de la Ciencia:
- Cardiología Cardiología.
- Electrofisiología y electrofisiología.
- Salud Pública La salud pública.
Sus antecedentes:
- La fibrilación auricular (FA) es la arritmia cardíaca sostenida más frecuente.
- La FA aumenta significativamente la mortalidad y la morbilidad, incluido el accidente cerebrovascular, la insuficiencia cardíaca y la calidad de vida reducida.
- El aumento de la esperanza de vida mundial y la mejora de la atención cardíaca están aumentando la prevalencia de AF, lo que representa un gran desafío para la salud pública.
Objetivo del estudio:
- Proporcionar una visión global de las estrategias actuales de manejo de la fibrilación auricular.
- Hacer hincapié en las modalidades de tratamiento farmacológicas y no farmacológicas.
- Para resaltar el papel crítico de la prevención del accidente cerebrovascular en el cuidado de la FA.
Principales métodos:
- Revisión de la literatura actual sobre el manejo de la fibrilación auricular.
- Análisis de las intervenciones farmacológicas.
- Evaluación de enfoques no farmacológicos y electrofisiológicos.
Principales resultados:
- La prevención del accidente cerebrovascular a través de la tromboprofilaxis es primordial, independientemente de la estrategia de control de la frecuencia o el ritmo.
- Tanto las estrategias de control de la velocidad como las de control del ritmo se emplean en el manejo de la FA.
- Las intervenciones electrofisiológicas muestran potencial para el tratamiento curativo.
Conclusiones:
- El manejo efectivo de la fibrilación auricular requiere un enfoque multifacético.
- La prevención del accidente cerebrovascular sigue siendo la piedra angular del tratamiento de la FA.
- Los avances en la electrofisiología ofrecen vías prometedoras para la cura de la FA.
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