对当前心房的挑战的实用综合方法:专家小组的见解
Carlos Escobar1, Miguel Camafort2,3,4, Elena Fortuny5
1Cardiology Service, University Hospital La Paz, 28046 Madrid, Spain.
Journal of clinical medicine
|August 14, 2025
概括
对心房的诊断和管理对于预防栓塞事件至关重要. 这项研究为优化AF护理提供了专家建议,强调诊断,通过DOAC预防中风和并发症管理.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 内部医学 内部医学
背景情况:
- 心房动 (AF) 是一种普遍存在的心律失常症,也是栓塞事件的主要原因.
- 及时诊断和治疗AF对于预防血栓栓塞并发症至关重要.
- 直接口服抗凝剂 (DOAC) 是一个进步,但它们在AF管理中的最佳使用需要进一步改进.
研究的目的:
- 评估目前关于心房动的临床管理的证据和专家共识.
- 为改善AF患者护理制定实际建议.
主要方法:
- 一个科学委员会制定了一个问卷,包括关于AF诊断,中风预防,速率/节律控制和并发症管理的文献综述.
- 专家小组成员使用5个点的利克特级别来评价声明,以评估协议.
- 结果在最后一次会议上讨论,以制定实际建议.
主要成果:
- 35名西班牙AF管理专家参加了会议.
- 对于大多数陈述,达成了高度一致 (78%),但存在一些差异 (9%) 和拒绝 (13%).
结论:
- 12导电心电图对于AF诊断至关重要,其补充的是可穿戴设备.
- 导管切除比药物治疗更受青,用于节律控制.
- 管理并发症是减少AF发病率和复发的关键.
- 患者的坚持和坚持对于抗凝药的有效性和安全性至关重要.
- 在老年患者 (≥75岁) 或患有慢性脏病的患者中,DOACs,特别是apixaban和edoxaban是预防中风的首选药物.
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