Crozier I, Melton I, Pearson S
Department of Cardiology, Christchurch Public Hospital, Christchurch, New Zealand.
Intern Med J. 2003 Apr;33(4):182-5. doi: 10.1046/j.1445-5994.2003.00356.x.
Abstract Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia and is a frequent cause for presentation to the emergency department. With an understanding of the pathophysiology and types of AF, efficient and effective management strategies for AF can be formulated. Patients with paroxysmal AF will often revert spontaneously and can initially be managed on an outpatient basis, unless an antiarrhythmic is commenced. In patients with AF and severe underlying heart disease, the management is primarily directed at the underlying heart disease, supplemented with rate-controlling measures, and prevention of thromboembolic complications. In patients with persistent AF good rate control, early cardioversion and initiation of an antiarrhythmic are likely to reduce the risk of recurrence.
摘要 心房颤动（AF）是最常见的持续性心律失常，也是急诊科常见的就诊原因。了解AF的病理生理学和类型后，即可制定高效且有效的AF管理策略。阵发性AF患者通常会自行恢复，除非开始使用抗心律失常药物，否则最初可在门诊进行管理。对于患有AF且伴有严重基础心脏病的患者，治疗主要针对基础心脏病，辅以心率控制措施，并预防血栓栓塞并发症。对于持续性AF患者，良好的心率控制、早期复律和启动抗心律失常治疗可能会降低复发风险。
