Jóanesarson Jan, Riahi Sam, Hjortshøj Søren
Marie Belows Vej 12, 8200 Aarhus N.
Ugeskr Laeger. 2013 Oct 21;175(43):2549-53.
Restoration of sinus rhythm should be considered in patients with atrial fibrillation. Prior to cardioversion, each patient must be assessed individually. In haemodynamically unstable patients due to atrial fibrillation, acute DC cardioversion should be performed. In patients who are candidates for elective treatment, cardioversion can be performed pharmacologically or by DC cardioversion. The choice of the cardioversion method is based on advantages and disadvantages of each method, although both methods are safe and effective in most patients when used correctly.
房颤患者应考虑恢复窦性心律。在进行心脏复律之前,必须对每位患者进行个体评估。对于因房颤导致血流动力学不稳定的患者,应进行急性直流电心脏复律。对于适合择期治疗的患者,心脏复律可通过药物或直流电心脏复律进行。心脏复律方法的选择基于每种方法的优缺点,尽管在大多数患者中正确使用时,这两种方法都是安全有效的。