Atrial fibrillation

被引：11
作者：
Verma, Kunal Pradip [1 ]
Wong, Michael [1 ,2 ,3 ]
机构：
[1] Eastern Hlth, Dept Cardiol, Box Hill, Vic, Australia
[2] Western Hlth, Cardiac Electrophysiol, St Albans, Vic, Australia
[3] Epworth Healthcare, Richmond, Vic, Australia
来源：
AUSTRALIAN JOURNAL OF GENERAL PRACTICE | 2019年 / 48卷 / 10期
关键词：
RHYTHM-CONTROL; RISK-FACTORS; MANAGEMENT; MORTALITY; PREVALENCE; GUIDELINES; AUSTRALIA; BURDEN; TRENDS;
D O I：
10.31128/AJGP-12-18-4787
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Background Atrial fibrillation (AF) is increasingly common among Australia's ageing population and carries significant morbidity and mortality. Its detection through screening, cardiac device interrogation and/or symptoms of AF brings with it a number of significant clinical issues. Objective The aim of this article is to outline a systematic approach to the management of patients with AF, including the initial investigations required, rhythm versus rate control, anticoagulation for stroke prevention, and the interplay between AF and heart failure. Discussion Most patients with AF can be managed safely and effectively in the primary care setting. Rhythm control is pursued early in certain patients with AF who are at risk of decompensated heart failure. Specialist cardiology input is important in the treatment of AF coinciding with clinical heart failure, and for patients with medically refractory symptoms or slow/rapid heart rates.
引用
收藏
页码：694 / 699
页数：6
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