Trastornos del ritmo auricular
| العنوان: | Trastornos del ritmo auricular |
|---|---|
| المؤلفون: | Josselin Duchateau, Mélèze Hocini, M. Haissaguerre, Pierre Jaïs, Thomas Pambrun, Nicolas Klotz, Arnaud Denis, F. Sacher, Nicolas Derval |
| المصدر: | EMC - Tratado de Medicina. 23:1-14 |
| بيانات النشر: | Elsevier BV, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | 03 medical and health sciences, 0302 clinical medicine, 030211 gastroenterology & hepatology, 030204 cardiovascular system & hematology |
| الوصف: | La fibrilacion auricular (FA) y el aleteo auricular (AA) son las taquicardias mas comunes en la auricula. Afectan al 2% de la poblacion general, y su prevalencia aumenta de forma considerable despues de los 60 anos. Constituyen dos presentaciones de arritmia de un mismo mecanismo de reentrada. Ademas de los sintomas a veces incapacitantes (palpitaciones, cansancio, mareos), confieren un mayor riesgo de episodios cardioembolicos y de insuficiencia cardiaca, cuya prevencion es esencial. Asi, los anticoagulantes se inician si la puntuacion CHA2DS2-VASc es alta, y mantener el ritmo sinusal es un objetivo fundamental. Aunque los farmacos se recomiendan como terapia de primera linea, la ablacion es mucho mas eficaz, sin los efectos nocivos de un antiarritmico a largo plazo. Por lo tanto, la ablacion se considerara al principio del tratamiento: en la practica, tan pronto como fracase el primer farmaco antiarritmico. El principio de este procedimiento, que tiene una tasa de riesgo baja, pero cuyo impacto es potencialmente grave, debe discutirse durante una consulta con un especialista en arritmologia. La taquicardia auricular focal (TAF) es infrecuente, benigna y afecta a personas jovenes. Por lo tanto, solo se tratan las formas sintomaticas o responsables de cardiopatia arritmica. |
| تدمد: | 1636-5410 |
| DOI: | 10.1016/s1636-5410(19)42595-6 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::250bc991a70254336c96bdf3c1a1ffc5 https://doi.org/10.1016/s1636-5410(19)42595-6 |
| Rights: | CLOSED |
| رقم الانضمام: | edsair.doi...........250bc991a70254336c96bdf3c1a1ffc5 |
| قاعدة البيانات: | OpenAIRE |
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