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Dayton clothing propafenone 600mg cardioversion of atrial fibrillation in 16 cases


Terminated by the paroxysmal AF, who is not self-termination of persistent AF, the treatment can not be terminated as a permanent atrial fibrillation. flutter and sustained atrial fibrillation, sinus rhythm should be restored as soon as possible to reduce the atrial electrical remodeling, and impaired heart function caused by rapid ventricular rate reduction in cardiac output. has been found that the longer the AF duration Q , the smaller the possibility of resumption of sinus rhythm, which is the so-called internal cardioversion, will increase almost thromboembolism Author: 300000,[link widoczny dla zalogowanych], Tianjin Third Central Hospital of Emergency Medicine (Headlines); Tianjin Third Central Hospital of Internal Medicine (Ying Liu L) rates. In general, anti-arrhythmic drugs are divided into four categories, I, Ⅱ, Ⅲ, and Ⅳ. Can be used for cardioversion of atrial fibrillation of drugs, including Class Ia (eg quinidine), Ic (such as propafenone, Moresi triazine) and Ⅲ (amiodarone, sotalol) antiarrhythmic drugs. They mainly act on the heart,[link widoczny dla zalogowanych], to extend the atrial refractory period or slow atrial conduction. Clinically, there are already some reports, prompted by Dayton clothing propafenone in a short way to the cardioversion of atrial fibrillation to ask, and good safety. Current cardioversion of atrial fibrillation methods include: drugs and DC cardioversion cardioversion. Drug cardioversion commonly Ia, Ic, and class Ⅲ antiarrhythmic drugs. Propafenone are class Ic antiarrhythmic drugs, which can block fast sodium channels and reduce the rate of rise of phase 0,[link widoczny dla zalogowanych], slowed cardiac conduction, effectively cardioversion of atrial fibrillation. Domestic and foreign research has indicated that atrial fibrillation is due to Service 450-600mg propafenone terminated atrial fibrillation can be effectively 0], this and consistent with the results of our study. In the complex legal process, the fastest time is only cardioversion 45rain, the longest time and only 5.5h, in such a short period of time to sinus rhythm, atrial electrical remodeling of the probability is very small, while the hemodynamic effects in patients small. Qr among patients after conversion of the previous extended, but after statistical analysis, before and after treatment QT prolongation was not significant question, which may be less number of patients we selected were related. We were conducted throughout the complex legal process of ECG monitoring and found no malignant arrhythmia, which may be the average age of the cases we have chosen light, not very serious on the basis of heart disease. Propafenone is a good drug cardioversion of atrial fibrillation, but its use should be very careful of adverse reactions. interval,[link widoczny dla zalogowanych], on the pathological myocardium, severe cardiac dysfunction and myocardial ischemia are particularly sensitive,[link widoczny dla zalogowanych], easy to induce a fatal arrhythmia. Dayton clothing 600mg propafenone, cardioversion of atrial fibrillation in a short time to prevent atrial remodeling and prevent hemodynamic barriers to be very effective in clinical. But the use of cardiac function should be selected is still good, no serious structural heart disease, no severe liver and renal dysfunction patients. cardiac function have been serious damage or serious heart disease patients You can use class Ⅲ antiarrhythmic drugs to treatment, but may be transferred to longer recovery time.