Cocco Giuseppe, Jerie Paul
Cardiology Office, Rheinfelden, Switzerland.
Cardiol J. 2016;23(1):3-11. doi: 10.5603/CJ.a2015.0053. Epub 2015 Sep 28.
Atrial fibrillation is a frequent arrhythmia with increasing prevalence. The paper reviews the most important present aspects and paradigms in the treatment of the arrhythmia. The main aim of treatment is directed to improve the quality of life while reducing morbidity and mortality. A large experience derived from epidemiological registers and clinical research, impressive advances in interventional electrophysiological therapies and the introduction of non-vitamin K antagonists had a dramatic impact on the medical approach. Recommended steps to classify and treat atrial fibrillation are presented and discussed.
心房颤动是一种常见的心律失常,其患病率呈上升趋势。本文回顾了目前该心律失常治疗中最重要的方面和范例。治疗的主要目标是在降低发病率和死亡率的同时提高生活质量。来自流行病学登记和临床研究的大量经验、介入性电生理治疗的显著进展以及非维生素K拮抗剂的引入对医学治疗方法产生了巨大影响。文中介绍并讨论了心房颤动分类和治疗的推荐步骤。