Albion Walter Hewlett, University of Michigan Health System, Ann Arbor, MI 48109-5852, USA.
Am J Med. 2011 Jan;124(1):4-14. doi: 10.1016/j.amjmed.2010.05.016.
Atrial fibrillation is a supraventricular tachyarrhythmia with significant consequences in terms of morbidity and mortality. In light of the limitations of available pharmacologic treatment options (suboptimal efficacy plus safety and tolerability issues), atrial fibrillation management should be individualized based on patient characteristics and comorbidities that could influence response to specific management approaches. The importance of adequate anticoagulation should not be overlooked. This review provides a practical guide for primary care physicians, internists, and cardiologists on current management strategies for atrial fibrillation, based on recent guidelines and current clinical data.
心房颤动是一种室上性快速性心律失常,在发病率和死亡率方面有重大影响。鉴于现有的药物治疗选择存在局限性(疗效不佳加上安全性和耐受性问题),应根据患者特征和可能影响特定管理方法反应的合并症对心房颤动进行个体化管理。不应忽视充分抗凝的重要性。该综述根据最近的指南和当前的临床数据,为初级保健医生、内科医生和心脏病专家提供了关于心房颤动当前管理策略的实用指南。