Gelzer Anna R M, Kraus Marc S
Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853, USA.
Vet Clin North Am Small Anim Pract. 2004 Sep;34(5):1127-44, vi. doi: 10.1016/j.cvsm.2004.05.001.
Atrial fibrillation (AF) is the most common clinically important arrhythmia in veterinary medicine. Electrical cardioversion of AF to sinus rhythm is feasible, but pharmacologic rate control is an effective and achievable treatment strategy for most veterinary patients. Recent human trials suggest that rate control and rhythm control are almost equally beneficial. Nevertheless, AF can be a challenging arrhythmia to manage, because most affected animal shave numerous other concurring problems associated with the underlying heart disease that dictate or influence the clinician's choice of treatment and monitoring strategy for each patient.
心房颤动(AF)是兽医学中临床上最重要的常见心律失常。将房颤电转复为窦性心律是可行的,但对于大多数兽医患者而言,药物控制心率是一种有效且可实现的治疗策略。近期的人体试验表明,心率控制和节律控制的益处几乎相当。然而,房颤可能是一种具有挑战性的心律失常,因为大多数患病动物还存在许多与潜在心脏病相关的并发问题,这些问题决定或影响着临床医生为每位患者选择的治疗和监测策略。