Ecker Veronika, Knoery Charles, Rushworth Gordon, Rudd Ian, Ortner Astrid, Begley David, Leslie Stephen J
Institute for Pharmaceutical Sciences, Karl-Franzens-Universität, Graz, Austria.
NHS Highland, Assynt House, Beechwood Park, Inverness, UK.
Clin Cardiol. 2018 Jun;41(6):862-870. doi: 10.1002/clc.22931. Epub 2018 Jun 7.
Atrial fibrillation is the most common heart-rhythm disorder, affecting about 1.5% to 2% of the population with an increased risk of mortality and morbidity due to stroke, thromboembolism, and heart failure. If the conversion back to sinus rhythm does not happen spontaneously, pharmacological or electrical cardioversion (ECV) is the next available treatment options for some patients. However, the long-term success following ECV is variable. This review describes the factors that are associated with maintenance of sinus rhythm following ECV and proposes a clinical strategy based on the available evidence.
心房颤动是最常见的心律失常,影响约1.5%至2%的人口,因中风、血栓栓塞和心力衰竭导致死亡率和发病率增加。如果不能自发恢复窦性心律,药物或电复律(ECV)是一些患者的下一个可用治疗选择。然而,ECV后的长期成功率各不相同。本综述描述了与ECV后窦性心律维持相关的因素,并根据现有证据提出了一种临床策略。