Riley Anne B, Manning Warren J
Beth Israel Deaconess Medical Center, Department of Cardiology, Boston, MA, USA.
Expert Rev Cardiovasc Ther. 2011 Aug;9(8):1081-90. doi: 10.1586/erc.11.107.
Atrial fibrillation is the most common cardiac arrhythmia that increases in prevalence with age. As the general population grows older, general practitioners will more frequently see this disease in their clinic population. In order to most effectively treat these patients, physicians need to understand key issues, including the use of rhythm control versus ventricular rate control and how to reduce the risk of ischemic stroke. This article will review recent advancements in the understanding of the pathophysiology, management, stroke risk stratification and prevention of thromboembolic complications in atrial fibrillation.
心房颤动是最常见的心律失常,其患病率随年龄增长而增加。随着普通人群老龄化,全科医生在其门诊患者中会更频繁地见到这种疾病。为了最有效地治疗这些患者,医生需要了解关键问题,包括节律控制与心室率控制的使用以及如何降低缺血性卒中的风险。本文将综述心房颤动在病理生理学、管理、卒中风险分层及血栓栓塞并发症预防等方面认识的最新进展。