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中华卫生应急电子杂志 ›› 2022, Vol. 08 ›› Issue (03) : 182 -184. doi: 10.3877/cma.j.issn.2095-9133.2022.03.011

综述

特定临床环境心房颤动应急管理
曲丽娟1, 王睿2,†()   
  1. 1. 030032 山西太原,山西白求恩医院(山西医学科学院 同济山西医院)、山西医科大学第三医院心内科
    2. 030000 太原,山西医科大学第一医院心内科
  • 收稿日期:2022-04-01 出版日期:2022-06-18
  • 通信作者: 王睿
  • 基金资助:
    国家自然科学基金(82000426); 山西省自然科学基金(201801D121222、201801D121337); 山西省卫生计生委科研课题(2018041)

Research progress in emergency management of atrial fibrillation

Lijuan Qu1, Rui Wang2()   

  • Received:2022-04-01 Published:2022-06-18
  • Corresponding author: Rui Wang
引用本文:

曲丽娟, 王睿. 特定临床环境心房颤动应急管理[J/OL]. 中华卫生应急电子杂志, 2022, 08(03): 182-184.

Lijuan Qu, Rui Wang. Research progress in emergency management of atrial fibrillation[J/OL]. Chinese Journal of Hygiene Rescue(Electronic Edition), 2022, 08(03): 182-184.

房颤是全球范围内常见的快速性心律失常,除外其本身可导致心悸、运动耐力下降等症状,房颤的并发症例如血栓栓塞、脑卒中、心力衰竭、认知里下降等也会严重的影响房颤患者的生活质量,同时增加房颤患者的反复就诊率、住院率。《2020年欧洲心脏病学会心房颤动管理指南》[1](《2020ESC房颤指南》)虽然提出房颤的复杂性需要多方面、整体、多学科的方法来管理,反复强调长期综合管理,结构化"4S-AF"流程化评估方案(卒中风险、症状严重程度、房颤负荷、心房基质评估)。患者若患有心衰、心梗等基础疾病,其发生房颤可增加3倍的年病死率[2,3]。本文旨在阐述房颤患者的急诊管理策略,为房颤的应急管理以及房颤合并症患者的临床处理提供诊疗思路。

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