Cardiac Arrhythmia Service, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA.
Curr Cardiol Rep. 2021 Oct 16;23(12):179. doi: 10.1007/s11886-021-01611-2.
Atrial fibrillation (AF) is the most common arrhythmia in adults and is responsible for 600,000 emergency department (ED) visits each year in the USA. Over 60% of these patients are admitted to inpatient units. The prevalence of AF is increasing, resulting in higher numbers of AF-related ED visits and inpatient admissions. These trends underscore the need for improvements in the efficiency of AF management in the ED.
Several treatment protocols have been developed to address challenges associated with AF management in the ED, including: initiation of oral anticoagulant (OAC) therapy, cardioversion, and arranging for outpatient follow-up. Studies of these protocols have demonstrated that they can be utilized safely and effectively. Published treatment protocols for AF in the ED have been shown to reduce unnecessary hospital admissions and improve adherence to guideline-directed OAC therapy. Widespread adoption of AF treatment protocols could improve patient outcomes and reduce the costs associated with inpatient AF treatment.
心房颤动（房颤）是成年人中最常见的心律失常，在美国每年有 60 万急诊（ED）就诊患者与房颤有关。其中超过 60%的患者被收入住院病房。房颤的患病率正在增加，导致与房颤相关的 ED 就诊和住院人数增加。这些趋势凸显了需要提高 ED 中房颤管理的效率。
已经制定了几种治疗方案来解决 ED 中房颤管理相关的挑战，包括：开始口服抗凝剂（OAC）治疗、电复律和安排门诊随访。这些方案的研究表明它们可以安全有效地使用。发表的 ED 中房颤治疗方案表明可以减少不必要的住院，并提高指南指导的 OAC 治疗的依从性。广泛采用房颤治疗方案可以改善患者的预后并降低与住院房颤治疗相关的成本。
