与心血管药物入院相关的药物性心房颤动

O. Ostroumova, M. S. Chernyaeva, A. Komarova, S. Gorbatenkova, D. Sychev
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引用次数: 2

摘要

在患有非明显心血管疾病(CVD)的患者中,某些药物可导致房颤(AF)的发生。此外,它可以加速已有心血管疾病患者房颤的发作。认识到药物是房颤的潜在原因是很重要的,特别是在老年人中,因为衰老与合并症和同时使用多种药物有关,这可能导致药物性房颤(DI AF)的发生率更高。本文综述了用于治疗CVD的药物可导致DI房颤发生的文献,其发病可能与使用强心剂、抗心律失常和抗心绞痛药物、钙通道阻滞剂、利尿剂、抗血小板药物等相关,证据水平不同。介绍了DI AF发生的频率、机理和校正方法。
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Drug-induced atrial fibrillation associated with admission of cardiovascular medications
Admission of certain medications (drugs) can cause the development of atrial fibrillation (AF) in patients having non-evident cardiovascular disease (CVD). Also, it can accelerate the onset of AF in patients with pre-existing CVD. It is important to realize medications as potential cause of AF, especially in elderly people, since aging is associated with comorbidity and use of many medications simultaneously, that can lead to higher incidence of druginduced AF (DI AF). The article provides literature review on medications used to treat CVD, the admission of which can lead to the development of DI AF. Its onset can be associated with the use of cardiotonic, antiarrhythmic and antianginal medications, calcium channel blockers, diuretics, antiplatelet agents and some others with different evidence levels. The frequency, mechanisms of DI AF development and methods for its correction are described.
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