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心房颤动的多学科治疗方法:堪比黄金。

Multidisciplinary Approach in Atrial Fibrillation: As Good as Gold.

作者信息

Lucà Fabiana, Abrignani Maurizio Giuseppe, Oliva Fabrizio, Canale Maria Laura, Parrini Iris, Murrone Adriano, Rao Carmelo Massimiliano, Nesti Martina, Cornara Stefano, Di Matteo Irene, Barisone Michela, Giubilato Simona, Ceravolo Roberto, Pignalberi Carlo, Geraci Giovanna, Riccio Carmine, Gelsomino Sandro, Colivicchi Furio, Grimaldi Massimo, Gulizia Michele Massimo

机构信息

Cardiology Department, Grande Ospedale Metropolitano, GOM, AO Bianchi Melacrino Morelli, 89129 Reggio Calabria, Italy.

Operative Unit of Cardiology, P. Borsellino Hospital, 91025 Marsala, Italy.

出版信息

J Clin Med. 2024 Aug 7;13(16):4621. doi: 10.3390/jcm13164621.

Abstract

Atrial fibrillation (AF) represents the most common sustained arrhythmia necessitating dual focus: acute complication management and sustained longitudinal oversight to modulate disease progression and ensure comprehensive patient care over time. AF is a multifaceted disorder; due to such a great number of potential exacerbating conditions, a multidisciplinary team (MDT) should manage AF patients by cooperating with a cardiologist. Effective management of AF patients necessitates the implementation of a well-coordinated and tailored care pathway aimed at delivering optimized treatment through collaboration among various healthcare professionals. Management of AF should be carefully evaluated and mutually agreed upon in consultation with healthcare providers. It is crucial to recognize that treatment may evolve due to the emergence of new risk factors, symptoms, disease progression, and advancements in treatment modalities. In the context of multidisciplinary AF teams, a coordinated approach involves assembling a diverse team tailored to meet individual patients' unique needs based on local services' availability.

摘要

心房颤动(AF)是最常见的持续性心律失常,需要双重关注:急性并发症管理和持续的长期监测,以调节疾病进展并确保随时间推移为患者提供全面护理。AF是一种多方面的疾病;由于存在大量潜在的加重病情的情况,多学科团队(MDT)应与心脏病专家合作管理AF患者。对AF患者进行有效管理需要实施精心协调和量身定制的护理路径,旨在通过各医疗专业人员之间的协作提供优化治疗。AF的管理应与医疗服务提供者协商进行仔细评估并达成共识。认识到由于新的危险因素出现、症状、疾病进展以及治疗方式的进步,治疗可能会发生变化,这一点至关重要。在多学科AF团队的背景下,协调方法包括根据当地服务的可用性组建一个多样化的团队,以满足个体患者的独特需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e85/11354619/6d755b275281/jcm-13-04621-g001.jpg

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