[Update atrial fibrillation in older adults].

IF 1.1 4区 医学 Q4 GERIATRICS & GERONTOLOGY Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2024-11-08 DOI:10.1007/s00391-024-02375-4
M Gosch, B Habboub, J N Krohn, M Pauschinger, T Deneke
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Abstract

Atrial fibrillation is the most frequent cardiac arrhythmia in old age. As a result of the positive data on ablation, the focus has shifted to rhythm control. Older adults can also benefit from catheter ablation. Oral anticoagulation remains an essential part of the pharmacological treatment of atrial fibrillation. Recent study results show that geriatric patients require an individual treatment approach, which should be based on the recommendations of the current guidelines and the use of supplementary aids. The assessment of functionality should be taken into account in the treatment and the treatment goal planning as well as symptoms associated with atrial fibrillation. In acute situations cardioversion and long-term drug or interventional (catheter ablation) rhythm-stabilizing treatment are available for rhythm control.

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[老年人心房颤动的最新情况]。
心房颤动是老年人最常见的心律失常。由于消融术获得了积极的数据,重点已转移到节律控制上。老年人也可以从导管消融术中获益。口服抗凝药仍然是心房颤动药物治疗的重要组成部分。最近的研究结果表明,老年患者需要采用个体化的治疗方法,这种方法应以现行指南的建议为基础,并使用辅助辅助工具。在治疗和治疗目标规划以及心房颤动相关症状方面,应考虑到对患者功能的评估。在急性期,可采用心脏电复律和长期药物或介入性(导管消融)心律稳定治疗来控制心律。
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来源期刊
CiteScore
2.00
自引率
16.70%
发文量
126
审稿时长
6-12 weeks
期刊介绍: The fact that more and more people are becoming older and are having a significant influence on our society is due to intensive geriatric research and geriatric medicine in the past and present. The Zeitschrift für Gerontologie und Geriatrie has contributed to this area for many years by informing a broad spectrum of interested readers about various developments in gerontology research. Special issues focus on all questions concerning gerontology, biology and basic research of aging, geriatric research, psychology and sociology as well as practical aspects of geriatric care. Target group: Geriatricians, social gerontologists, geriatric psychologists, geriatric psychiatrists, nurses/caregivers, nurse researchers, biogerontologists in geriatric wards/clinics, gerontological institutes, and institutions of teaching and further or continuing education.
期刊最新文献
[Risk assessment in geriatric traumatology : Crucial role of anesthesiology]. Distress of surgical nursing personnel in dealing with patients with dementia : An integrative review. [Update atrial fibrillation in older adults]. Mitteilungen der DGG. Mitteilungen der DGGG.
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