控制心房动的发生率
Isabelle C Van Gelder1, Michiel Rienstra1, Harry J G M Crijns2
1Department of Cardiology, Thoraxcenter, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.
Lancet (London, England)
|August 26, 2016
概括
对于所有患者来说,控制心率是关键一步. 对心率控制的治疗选择是根据患者的因素和可用的疗法进行的.
科学领域:
- 心脏病学
- 内部医学
背景情况:
- 需要有效控制心率来治疗心房动.
- 节律控制是所有AF患者的主要考虑因素,无论节律控制的目标如何.
研究的目的:
- 审查心脏动控制的理由,患者选择和可用的治疗方法.
- 提供药物选择和干预策略以控制AF率.
主要方法:
- 对心房管理策略的当前文献的综述.
- 对心率控制的药理和干预选择的分析.
主要成果:
- 控制心率对于AF治疗至关重要,药物选择要根据个体患者的情况进行调整.
- 贝塔阻断剂和非二皮里丁通道阻断剂是有效的;狄戈辛的作用有限.
- 心房结节切除是最后的手段,AF的导管切除是首选的替代方案.
结论:
- 对于心房患者来说,个性化节奏控制是必不可少的.
- 药物选择如β阻断剂和通道阻断剂是第一线药物.
- 应谨慎考虑干预程序,优先考虑AF切除而不是AV结节切除.
相关概念视频
Disturbances in Heart Rhythm
3.5K
Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
3.5K
Dysrhythmias IV: Characteristics of Bradyarrhythmias
733
Bradyarrhythmias are cardiac rhythm disorders characterized by a slower-than-normal heart rate, typically defined as fewer than 60 beats per minute. Some of which are discussed here:Sinus BradycardiaSinus bradycardia presents a heart rate lower than 60 beats per minute, with a regular rhythm originating from the SA node. The ECG typically shows normal P waves preceding each QRS complex, a normal PR interval (0.12 to 0.20 seconds), and a normal QRS duration (0.06 to 0.10 seconds).First-Degree AV...
733
Dysrhythmias III: Characteristics of Dysrhythmias
630
Dysrhythmias, also known as arrhythmias, are irregular heart rhythms that result from abnormal electrical activity in the heart, affecting its ability to circulate blood efficiently. Tachyarrhythmias, a subset of dysrhythmias, are characterized by abnormally fast heart rates exceeding 100 beats per minute. Here are some types of tachyarrhythmias with their distinct ECG features:Sinus Tachycardia:Sinus tachycardia presents a regular heart rhythm with an increased rate of 101-180 beats per...
630
Dysrhythmias VI: Management of Dysrhythmias
577
Dysrhythmia management involves a multifaceted approach, incorporating pharmacological treatments, medical procedures, surgical interventions, lifestyle modifications, and patient education.Pharmacological ManagementAntiarrhythmic Drugs:Class I (Sodium Channel Blockers): This class includes quinidine and procainamide, which reduce the speed of impulse conduction in the heart, stabilize the cardiac membrane, and control arrhythmias. Quinidine and procainamide are Class IA agents that prolong the...
577
Antiarrhythmic Drugs: Class IV Agents as Calcium Channel Blockers
2.5K
Class IV antiarrhythmic drugs, such as verapamil and diltiazem, block calcium channels. They primarily affect the heart, slowing the conduction in calcium-dependent tissues like the SA and AV nodes. These drugs manage reentrant supraventricular tachycardia (SVT) and reduce ventricular rate in atrial flutter/fibrillation.
Verapamil, a calcium channel blocker, inhibits calcium movement across myocardial cell membranes and vascular smooth muscle. This results in the dilation of coronary and...
Verapamil, a calcium channel blocker, inhibits calcium movement across myocardial cell membranes and vascular smooth muscle. This results in the dilation of coronary and...
2.5K
ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias
801
Arrhythmia is a condition characterized by an irregular heart rhythm, with ECG changes that differ based on its origin and nature. The types of arrhythmias discussed below include atrial, junctional, and ventricular arrhythmias.Atrial ArrhythmiasPremature Atrial Complexes (PACs): PACs are early atrial beats caused by stress, caffeine, alcohol, electrolyte imbalances, hypoxia, hyperthyroidism, or certain medications (e.g., bronchodilators and decongestants). The ECG shows early P waves with an...
801


