Pariaut Romain
Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, 930 Campus Road, Ithaca, NY 14853-6401, USA.
Vet Clin North Am Small Anim Pract. 2017 Sep;47(5):977-988. doi: 10.1016/j.cvsm.2017.04.002. Epub 2017 Jun 20.
A rate control, or a rhythm control, strategy can be applied to the management of atrial fibrillation. Rate control of atrial fibrillation consists of decreasing the ventricular response rate by limiting the number of supraventricular impulses that can travel through the atrioventricular node. The goal of decreasing heart rate in dogs with atrial fibrillation is usually achieved with a combination of the calcium channel blocker diltiazem and digoxin. Rhythm control of atrial fibrillation encompasses pharmacologic and nonpharmacologic methods to terminate the arrhythmia and restore sinus rhythm. Transthoracic synchronized electrical cardioversion is commonly used to stop atrial fibrillation.
心率控制或节律控制策略可应用于心房颤动的管理。心房颤动的心率控制包括通过限制可穿过房室结的室上性冲动数量来降低心室反应率。在患有心房颤动的犬中，降低心率的目标通常通过钙通道阻滞剂地尔硫卓和地高辛联合使用来实现。心房颤动的节律控制包括终止心律失常并恢复窦性心律的药物和非药物方法。经胸同步电复律常用于终止心房颤动。
