对心房的治疗
Eric N Prystowsky1, Benzy J Padanilam1, Richard I Fogel1
1St Vincent Medical Group, St Vincent Hospital, Indianapolis, Indiana.
JAMA
|July 22, 2015
概括
心房的治疗重点是解决原因和控制心率. 通过药物或切除来维持鼻腔节律是根据患者的需要进行的.
科学领域:
- 心脏病学
- 电生理学
背景情况:
- 脑前膜 (AF) 影响数百万,增加中风风险和死亡率.
- 有效的AF管理对于患者的结果至关重要.
研究的目的:
- 总结目前的心房动治疗策略,不包括中风预防.
- 提供AF管理选项的概述.
主要方法:
- 从2010年至2015年,对Ovid MEDLINE进行了全面的文献搜索 (5044个引用).
- 2014年美国心脏协会,美国心脏病学院和心律学会AF指南的审查.
主要成果:
- 风险因素的调整 (减肥,治疗高血压,糖尿病,睡眠呼吸暂停) 可以减少AF发作.
- 对于老年人来说,节制剂量是安全的;个性化治疗是关键.
- 对许多患者来说,导管切除是一种有效的二线治疗方法.
结论:
- 这种治疗包括治疗原因和抗凝固药物.
- 对于所有患者来说,节制是必要的.
- 应根据个体患者的需要考虑通过药物或切除来维持鼻节律.
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