简介: 早期诊断和适当的治疗心房动
Thomas F Deering1, James A Reiffel2, Allen J Solomon3
1Piedmont Healthcare, Atlanta, GA, USA.
The American journal of cardiology
|September 30, 2023
概括
使用抗心律失常药物或切除改善了患者的结果,用于心房的早期节律控制. 这种方法,特别是早期诊断,是管理这种常见的心律失常和预防进展的关键.
科学领域:
- 心脏病学 心脏病学
- 电力生理学 电力生理学
- 内部医学 内部医学
背景情况:
- 心房动 (AF) 是最常见的持续性心律失常,对健康造成重大负担.
- 许多AF病例无症状或亚临床,导致诊断和治疗延迟.
- 最近的研究强调了早期发现和干预AF管理的重要性.
研究的目的:
- 讨论心房管理的不断变化的格局.
- 强调AF早期诊断和早期节律控制 (ERC) 的好处.
- 审查关于速度与节律控制策略的历史和最近的研究.
主要方法:
- 关于早期节律控制的里程碑式研究 (EAST-AFNET 4,韩国语,EARLY AF,STOP AF First) 的综述.
- 讨论抗心律失常药物 (AADs) 和废除作为ERC战略.
- 对AF治疗和共享决策的当前指导方针的分析.
主要成果:
- 早期节律控制 (ERC) 通过AAD或切除改善了AF患者的结果.
- ERC,特别是在切除过程中,可以减缓AF的进展.
- 最近的证据支持ERC作为通常护理的宝贵补充,包括费率控制.
结论:
- 早期诊断和治疗AF,包括ERC,对于更好的患者结果至关重要.
- 选择适当的ADS和考虑废除作为一线治疗是ERC的关键组成部分.
- 心脏病专家和初级保健提供者应该有权根据指导方针和共享决策来启动早期AF治疗.
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