哪一个更好? 在心房的速度与节律控制相比:一个系统的审查
Olawale O Olanisa1,2, Payal Jain2, Qasim S Khan2
1Internal Medicine, Trinity Health Grand Rapids, Grand Rapids, USA.
Cureus
|January 3, 2024
概括
管理心房动 (AF) 涉及节律或节律的控制. 节律控制可以改善生活质量,而节律控制可以减少不良事件,需要个性化AF治疗.
科学领域:
- 心脏病学 心脏病学
- 临床医学 临床医学
- 系统审查是系统的审查.
背景情况:
- 心房动 (AF) 是一种普遍存在的心律失常,与严重的发病率和死亡率有关.
- 对于AF的最佳管理策略,特别是速率控制与节律控制,是正在进行的临床辩论的主题.
研究的目的:
- 在AF管理中系统地比较速度控制和节奏控制策略.
- 评估与每个策略相关的临床结果,生活质量和不良事件.
主要方法:
- 在多个数据库 (PubMed,Scopus,Embase等) 中进行了全面的文献搜索. ) 的情况.
- 根据PRISMA指南,选出了28项研究,包括RCT和观察性研究.
- 分析的结果包括死亡率,中风,出血,住院,生活质量和不良影响.
主要成果:
- 速度和节奏控制策略都显示出明显的优点和缺点.
- 节律控制可以提高症状管理和生活质量.
- 速率控制可能与较低的不良事件和并发症风险有关.
结论:
- AF管理策略的有效性因患者特异性因素和并发症而异.
- 本综述提供了关于AF管理当前证据的见解,强调需要个性化治疗方法.
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