McCulloch Brenda
Sutter Medical Center, Sacramento, 2801 L Street, Sacramento, CA 95816, USA.
Crit Care Nurs Clin North Am. 2015 Dec;27(4):427-38. doi: 10.1016/j.cnc.2015.07.003. Epub 2015 Aug 28.
Atrial fibrillation is commonly experienced by patients with heart failure, and as the heart failure progresses and worsens, the more likely the patient is to develop atrial fibrillation. Several factors play into this, including common risk factors, such as advanced age, hypertension, and ischemic or valvular heart disease. Treatment is aimed at anticoagulation, to prevent thromboembolic stroke, and rate control to prevent further hemodynamic compromise. Rhythm control may be beneficial for many patients and this can be accomplished through the use of antiarrhythmic medications, cardioversion, and/or ablation.
心力衰竭患者常出现心房颤动，并且随着心力衰竭的进展和恶化，患者发生心房颤动的可能性越大。有几个因素导致这种情况，包括常见的危险因素，如高龄、高血压以及缺血性或瓣膜性心脏病。治疗旨在进行抗凝以预防血栓栓塞性中风，并控制心率以防止进一步的血流动力学损害。节律控制可能对许多患者有益，这可以通过使用抗心律失常药物、心脏复律和/或消融来实现。
