紧急程度低
很常见中度严重
以心律不齐为特征的心律失常。它是最常见的心律失常,随着年龄的增长而增加。
虽然在许多情况下病因不明,但已被描述与高血压,冠心病(先天性心脏病,二尖瓣关闭不全),肺病(肺炎,肺癌等),甲亢和过量饮酒有关。
这些症状可以通过低心率出现,也可以出现同样的症状增加。最常见的是表现为心悸,疲劳,头晕,胸痛和/或呼吸短促。如果心率发生很大变化,可能会导致意识丧失。
通过询问和体检怀疑诊断,并通过心电图确认。当间歇性地发生心律失常时,可能需要放置连续的心电图记录(Holter)。
该治疗基于抗心律失常药物。如果引起严重症状,可能需要通过电除颤器电击来逆转心律失常。由于它与血栓和栓塞的形成有关,因此建议加入抗凝治疗以避免与其存在相关的并发症。
- Philip J Podrid, MD, FACC. Paroxysmal atrial fibrillation. UpToDate. Oct 104, 2016.
- Leonard I Ganz, MD, FHRS, FACC. David Spragg, MD, FHRS. Epidemiology of and risk factors for atrial fibrillation. UpToDate. Jul 06, 2016.
- Warren J Manning, MD. Daniel E Singer, MD. Gregory YH Lip, MD, FRCPE, FESC, FACC. Atrial fibrillation: Anticoagulant therapy to prevent embolization. UpToDate. Oct 31, 2016.
- Camm AJ, Lip GY, De Caterina R, et al. 2012 focused update of the ESC Guidelines for the management of atrial fibrillation: an update of the 2010 ESC Guidelines for the management of atrial fibrillation--developed with the special contribution of the European Heart Rhythm Association. Europace 2012; 14:1385.
- January CT, Wann LS, Alpert JS, et al. 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society. J Am Coll Cardiol 2014; 64:e1.
医生 Sara Vitoria
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