Atrial fibrillation

被引：362

作者：

Lip, Gregory Y. H. ^{[1
]}

Tse, Hung Fat ^{[2
]}

Lane, Deirdre A. ^{[1
]}

机构：

[1] Univ Birmingham, Ctr Cardiovasc Sci, City Hosp, Birmingham B18 7QH, W Midlands, England

[2] Queen Mary Hosp, Dept Med, Div Cardiol, Hong Kong, Hong Kong, Peoples R China

来源：

LANCET | 2012年 / 379卷 / 9816期

关键词：

STROKE RISK STRATIFICATION; CARDIAC RESYNCHRONIZATION THERAPY; RADIOFREQUENCY CATHETER ABLATION; ANTIARRHYTHMIC-DRUG THERAPY; HEART RHYTHM ASSOCIATION; CARDIOLOGY WORKING GROUP; LONG-TERM SURVIVAL; PREDICTING STROKE; EUROPEAN-SOCIETY; SINUS RHYTHM;

D O I：

10.1016/S0140-6736(11)61514-6

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The management of atrial fibrillation has evolved greatly in the past few years, and many areas have had substantial advances or developments. Recognition of the limitations of aspirin and the availability of new oral anticoagulant drugs that overcome the inherent drawbacks associated with warfarin will enable widespread application of effective thromboprophylaxis with oral anticoagulants. The emphasis on stroke risk stratification has shifted towards identification of so-called truly low-risk patients with atrial fibrillation who do not need antithrombotic therapy, whereas oral anticoagulation therapy should be considered in patients with one or more risk factors for stroke. New antiarrhythmic drugs, such as dronedarone and vernakalant, have provided some additional opportunities for rhythm control in atrial fibrillation. However, the management of the disorder is increasingly driven by symptoms. The availability of non-pharmacological approaches, such as ablation, has allowed additional options for the management of atrial fibrillation in patients who are unsuitable for or intolerant of drug approaches.

引用

页码：648 / 661

页数：14

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