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急性护理环境中心房颤动的诊断与治疗

Diagnosis and treatment of atrial fibrillation in the acute care setting.

作者信息

Nottingham Fatima

机构信息

Johns Hopkins Hospital, Baltimore, Maryland 21224, USA.

出版信息

J Am Acad Nurse Pract. 2010 Jun;22(6):280-7. doi: 10.1111/j.1745-7599.2010.00508.x.

Abstract

PURPOSE

To discuss the causes of atrial fibrillation (AF), risk factors, and pathophysiology, and review current treatment guidelines for AF in the inpatient setting.

DATA SOURCES

Peer-reviewed medical and nursing journals, American College of Cardiology (ACC), American Heart Association (AHA), and European Society of Cardiology (ESC) practice guidelines.

CONCLUSIONS

There are many predisposing factors to AF and a variety of treatment modalities. Nurse practitioners (NPs) should acquaint themselves with the pathophysiology and evidence-based treatments in order to provide individually based care to patients.

IMPLICATIONS FOR PRACTICE

Pharmacological management is often warranted in patients with AF. NPs must be aware of updated clinical evidence in order to properly treat patients to provide symptomatic relief and improve quality of life.

摘要

目的

探讨心房颤动(AF)的病因、危险因素及病理生理学,并回顾住院患者AF的当前治疗指南。

数据来源

同行评审的医学和护理期刊、美国心脏病学会(ACC)、美国心脏协会(AHA)和欧洲心脏病学会(ESC)的实践指南。

结论

AF有许多诱发因素和多种治疗方式。执业护士(NPs)应熟悉其病理生理学和循证治疗方法,以便为患者提供个性化护理。

对实践的启示

AF患者通常需要进行药物治疗。NPs必须了解最新的临床证据,以便正确治疗患者,缓解症状,提高生活质量。

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