Update atrial fibrillation in older adults

被引：0

作者：

Gosch, M. ^{[1
]}

Habboub, B. ^{[1
]}

Krohn, J. N. ^{[1
]}

Pauschinger, M. ^{[2
]}

Deneke, T. ^{[2
]}

机构：

[1] Paracelsus Med Privatuniv Nurnberg, Med Klin 2, Klinikum Nurnberg, Schwerpunkt Geriatrie, Prof Ernst Nathan Str 1, D-90419 Nurnberg, Germany

[2] Paracelsus Med Univ Nurnberg, Med Klin 8, Klinikum Nurnberg, Schwerpunkt Kardiol & Rhythmol, Nurnberg, Germany

来源：

ZEITSCHRIFT FUR GERONTOLOGIE UND GERIATRIE | 2024年

关键词：

Rhythm control; Catheter ablation; Cardioversion; Oral anticoagulation; Geriatric assessment; CATHETER ABLATION; ELDERLY-PATIENTS; THERAPY; WARFARIN; RISK;

D O I：

10.1007/s00391-024-02375-4

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Atrial fibrillation is the most frequent cardiac arrhythmia in old age. As a result of the positive data on ablation, the focus has shifted to rhythm control. Older adults can also benefit from catheter ablation. Oral anticoagulation remains an essential part of the pharmacological treatment of atrial fibrillation. Recent study results show that geriatric patients require an individual treatment approach, which should be based on the recommendations of the current guidelines and the use of supplementary aids. The assessment of functionality should be taken into account in the treatment and the treatment goal planning as well as symptoms associated with atrial fibrillation. In acute situations cardioversion and long-term drug or interventional (catheter ablation) rhythm-stabilizing treatment are available for rhythm control.

引用

页码：659 / 667

页数：9

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