Tratamiento no farmacológico de la fibrilación auricular. Ablación, cardioversión eléctrica, marcapasos y cierre de la orejuela

Felipe Atienza , Ángel Moya
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引用次数: 2

Abstract

This article provides an update on the nonpharmacological treatment of atrial fibrillation. First, the current status of ablation, including indications, techniques and outcomes, is reviewed. Second, the indications for electrical cardioversion, the precautions that have to be taken and the outcomes achievable are summarized. In addition, there is a discussion of the role of pacemakers for heart rate control in two groups of patients with atrial fibrillation: those with permanent atrial fibrillation and those in whom pharmacological control is difficult, such as patients with paroxysmal atrial fibrillation or bradycardia– tachycardia syndrome. Finally, an overview is presented of the devices currently used for left atrial appendage closure in patients with a high thromboembolic risk and a contraindication to oral anticoagulants.

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心房颤动的非药物治疗。消融,电转位,起搏器和枕骨闭合
这篇文章提供了最新的非药物治疗心房颤动。首先,回顾了消融的现状,包括适应症、技术和结果。其次,总结了电复律的适应症、必须采取的预防措施和可实现的结果。此外,本文还讨论了起搏器在两组房颤患者心率控制中的作用:永久性房颤患者和药物控制困难的房颤患者,如阵发性房颤或心动过缓-心动过速综合征患者。最后,概述了目前用于左心耳闭合的设备,用于具有高血栓栓塞风险和口服抗凝药物禁忌症的患者。
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来源期刊
Revista Espanola de Cardiologia Suplementos
Revista Espanola de Cardiologia Suplementos Medicine-Cardiology and Cardiovascular Medicine
CiteScore
1.20
自引率
0.00%
发文量
1
期刊介绍: Revista Española de Cardiología, is an international scientific journal dealing with cardiovascular medicine. Revista Española de Cardiología, the official publication of the Spanish Society of Cardiology, publishes research articles related to cardiovascular diseases. Articles are published in Spanish for the paper edition and in both Spanish and English in the electronic edition, which is available on the Internet. Regular sections include original articles reporting clinical or basic research, brief reports, review articles, editorials and letters to the Editor.
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