Contemporary management of atrial fibrillation: a brief review
| Autor: | Yu-Zeng Xue, Lexin Wang |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Evidence-Based Medicine business.industry medicine.medical_treatment Management of atrial fibrillation Cardiac arrhythmia Thrombosis Atrial fibrillation Catheter ablation General Medicine Evidence-based medicine medicine.disease Stroke Clinical trial Atrial Fibrillation Catheter Ablation medicine Humans Thrombolytic Therapy Sinus rhythm Intensive care medicine business |
| Zdroj: | Advances in Medical Sciences. 55:130-136 |
| ISSN: | 1896-1126 |
| DOI: | 10.2478/v10039-010-0024-5 |
| Popis: | Atrial fibrillation (AF) is the most common cardiac arrhythmia with a prevalence of up to 10% in patients who are 80 years and older. There has been some significant progress in the understanding and management of AF in recent years. Large-scale clinical trials have provided solid evidence in supporting the role of anti-thrombotic therapies in the prevention of stroke in moderate to high risk patients. Appropriate control of the ventricular rate or the maintenance of sinus rhythm offers long-term benefits in specific groups of patients. Catheter ablation or "Maze" surgery has proven to be curative to some patients. However, the implementation of the evidence-based therapeutic strategies in the day-to-day care of the AF patients have been found to vary greatly from one institution to another, some of which are hindering the achievement of optimal long-term outcomes. In this brief review, some of the key strategies in the evidence-based management of AF are discussed, with particular emphasis on anti-thrombotic therapy, rhythm or rate control, as well as catheter ablation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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