[1]崔犇 陈芸霖 殷跃辉 杨仙 杨敏 易鑫.心房颤动抗凝与复律时机的抉择[J].心血管病学进展,2023,(3):229.[doi:10.16806/j.cnki.issn.1004-3934.2023.03.009]
 CUI Ben,CHEN Yunlin,YIN Yuehui,et al.Timing of Anticoagulation and Cardioversion in Patients with Atrial Fibrillation[J].Advances in Cardiovascular Diseases,2023,(3):229.[doi:10.16806/j.cnki.issn.1004-3934.2023.03.009]
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心房颤动抗凝与复律时机的抉择()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2023年3期
页码:
229
栏目:
综述
出版日期:
2023-03-25

文章信息/Info

Title:
Timing of Anticoagulation and Cardioversion in Patients with Atrial Fibrillation
作者:
崔犇1 陈芸霖 2 殷跃辉 12 杨仙1 杨敏 1 易鑫 1
(1.重庆医科大学研究生院,重庆 400016;2.重庆医科大学附属第二医院心血管内科,重庆400010)
Author(s):
CUI Ben1 CHEN Yunlin2YIN Yuehui12YANG Xian1YANG Min1Yi Xin1
(1. Chongqing Medical University Graduate School,Chongqing 400016,China; 2. Department of Cardiovascular Medicine,The Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China)
关键词:
心房颤动抗凝复律时机
Keywords:
Atrial fibrillationAnticoagulationCardioversionTiming
DOI:
10.16806/j.cnki.issn.1004-3934.2023.03.009
摘要:
心房颤动(房颤)是临床中最常见的心律失常之一,全球发病率和患病率正在逐年增加。目前国际权威指南提出并提倡针对房颤采用“CC To ABC”管理路径进行综合管理,其中复律和抗凝是房颤综合管理中最重要的组成部分。近年来,尽管对于节律控制及抗凝治疗的策略研究持续深入,研究证据不断积累,但对于复律和抗凝时机的选择以及所需的可作为指南证据的高水平研究仍较为缺乏,且各国各学术组织对房颤治疗时机的选择也存在较大分歧。现就何时启动抗凝及复律治疗进行详细阐述,并总结已有文献,分析目前研究存在的问题,旨在为实现房颤的最佳治疗提供参考。
Abstract:
Atrial fibrillation is one of the most prevalent arrhythmias in clinical practice,and its global incidence and prevalence rates are increasing year by year. At present,the international authoritative guidelines propose and advocate the “CC To ABC”management pathway for the comprehensive management of atrial fibrillation. Cardioversion and anticoagulation are the most important components of the comprehensive management of atrial fibrillation. In recent years,although the research on the strategy of rhythm control and anticoagulation therapy continues to deepen and the research evidence continues to accumulate,there is still a lack of high-level research that can be used as guideline evidence for the choice of cardioversion and anticoagulation timing,and there are also great differences on the choice of treatment timing for atrial fibrillation among academic organizations in various countries. Therefore,this article elaborates on when to start anticoagulation and cardioversion therapy,summarizes the existing literature and analyzes the existing problems,in order to provide reference for the best treatment for atrial fibrillation

参考文献/References:

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更新日期/Last Update: 2023-04-24