Forum pracy nad projektem wskrzeszenia The Forge

[yoylqnqvwb]

Clinical application of atrial fibrillation classification Progress


Function is not conducive to the maintenance and improvement. For the treatment of persistent atrial fibrillation has not been determined. The main purpose of the treatment of permanent AF is to slow down the heart rate, long-term anticoagulation to prevent thromboembolic complications. For obvious structural heart disease and heart enlargement or heart failure patients should have been the first choice of digitalis drugs such as heart rate are not satisfied, can be associated with oral care blocker or calcium antagonist. For myocardial infarction or in patients with dilated cardiomyopathy and atrial fibrillation Wing,[link widoczny dla zalogowanych], such as digitalis drug efficacy are not satisfied, can be added with a small dose of oral blockers. Pre-excitation syndrome by some or all of the accessory pathway atrial fibrillation prequel to disable digitalis or calcium antagonists, and severe illness, heart rate fast (> 180 to change / rain) or cause loss of consciousness, patients should be immediate DC shock cardioversion for hemodynamically stable patients with accessory pathway should not be used to extend period of procaine blind or propafenone. Can be eradicated by the catheter ablation of atrioventricular bypass. Selection of patients with sick sinus syndrome with atrial-based pacing (ArM or DDD), instead of v Ⅵ pacing is atrial level, a practical method of secondary prevention. Right atrial pacing or dual-point may be more pacing around a double room to save. Ineffective treatment of drug refractory permanent AF operation via guided radiofrequency ablation of atrioventricular junction, leading to complete atrioventricular block, ventricular pacemaker implantation J Recently,[link widoczny dla zalogowanych], another non-drug treatment of atrial fibrillation by development, such as radical surgery or catheter maze atrial fibrillation, automatic implantable atrial defibrillator, etc.,[link widoczny dla zalogowanych], but is not yet mature. In summary,[link widoczny dla zalogowanych], the AF classification is widely applied in clinical practice, allows us to better understand the characteristics of various types of atrial fibrillation,[link widoczny dla zalogowanych], choice of drugs against arrhythmias has some basis for the treatment of disease to achieve the best effect.