非心胸外科手术后房颤的争议：临床及研究意义
Controversies in postoperative atrial fibrillation after noncardiothoracic surgery: clinical and research implications.
作者信息
Vallurupalli Srikanth, Shanbhag Anusha, Mehta Jawahar L
机构信息
Division of Cardiology, Central Arkansas Veterans Healthcare System and the University of Arkansas for Medical Sciences, Little Rock, Arkansas.
出版信息
Clin Cardiol. 2017 May;40(5):329-332. doi: 10.1002/clc.22652. Epub 2017 Mar 8.
Abstract
Post operative atrial fibrillation after non-cardiothoracic surgery is an increasingly common problem. There is little high quality data to guide clinicians in risk prediction as well as short term and long term management. There appears to be a significant risk of recurrent atrial fibrillation and stroke but effective screening strategies have not been tested. In this commentary, we delineate various controversies in the management of post operative atrial fibrillation and briefly review the available evidence. Prospective studies in this clinically important area of cardiology should be encouraged.
摘要
非心胸外科手术后的术后房颤是一个日益常见的问题。几乎没有高质量的数据来指导临床医生进行风险预测以及短期和长期管理。房颤复发和中风的风险似乎很大，但有效的筛查策略尚未得到验证。在这篇评论中，我们阐述了术后房颤管理中的各种争议，并简要回顾了现有证据。应鼓励在心脏病学这一临床重要领域开展前瞻性研究。
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