Heinz G
Abteilung für Kardiologie, Intensivstation 13H3, Universitätsklinik für Innere Medizin II, Währinger Gürtel 18-20, 1090, Wien, Österreich,
Med Klin Intensivmed Notfmed. 2013 Oct;108(7):549-54. doi: 10.1007/s00063-012-0141-y. Epub 2013 Aug 24.
Atrial fibrillation (AF) is the single most frequent arrhythmia in the intensive care unit, occurring among 44-61 % of all patients with arrhythmias in the intensive care unit. The success rate of electrical cardioversion (DC-CV) early after surgery is as low as 10-35 % in postoperative AF but 6 weeks after discharge 90 % are in sinus rhythm (SR). Several guidelines recommend rate control in these patients and rate control with β-blockers and calcium channel blockers is not inferior with respect to outcome, 6 min walk test, and quality of life. DC-CV is recommended in unstable and heart failure patients. The term resistant AF is suggested for that distinct situation of AF not amenable to cardioversion solely in the acute phase of critical illness.
心房颤动（AF）是重症监护病房中最常见的心律失常，在所有重症监护病房心律失常患者中占44%-61%。术后早期电复律（DC-CV）在术后房颤中的成功率低至10%-35%，但出院6周后90%的患者恢复窦性心律（SR）。多项指南建议对这些患者进行心率控制，使用β受体阻滞剂和钙通道阻滞剂进行心率控制在结局、6分钟步行试验和生活质量方面并不逊色。不稳定和心力衰竭患者建议进行DC-CV。“难治性房颤”一词用于指仅在危重症急性期不适合复律的房颤这种特殊情况。
