INSIGHTS INTO ATRIAL FIBRILLATION: A NARRATIVE EXAMINATION OF PATHOPHYSIOLOGY AND TREATMENT MODALITIES

Cristian Fabian Triviño Rojas, Laura Steffany González Camacho
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Abstract

Atrial brillation (AF) management involves critical decision points inuenced by patient preferences, duration of AF, and treatment outcomes. Rhythm control is pursued within the rst year of persistent AF, and if unsuccessful or not tolerated, a shift to rate control may be considered. Recurrent AF poses challenges, with an increased risk in specic patient groups. Guidelines from major cardiology societies offer comprehensive recommendations, highlighting individualized approaches for optimal outcomes. Screening for AF, particularly in high-risk populations, enables early detection and intervention. Manifestations vary, and a timely diagnosis relies on comprehensive evaluation, including imaging and rhythm monitoring. Treatment strategies encompass lifestyle modications, anticoagulation, and antiarrhythmic drugs, with integrated care pathways showing promise. Despite advancements, AF remains linked to adverse outcomes, emphasizing the need for personalized management strategies and ongoing research.
洞察心房颤动:病理生理学和治疗方法的叙述性研究
心房 brillation(房颤)管理涉及关键的决策点,受患者偏好、房颤持续时间和治疗效果的影响。在持续性房颤的第一年内,,可寻求节律控制,如果不成功或不能耐受,可考虑转向心率控制。复发性房颤具有挑战性,在特定c 患者群体中风险更高。主要心脏病学会的指南提供了全面的建议,强调了个体化的最佳治疗方法。心房颤动筛查,尤其是在高危人群中,可实现早期发现和干预。心房颤动的表现各不相同,及时诊断有赖于全面的评估,包括影像学检查和心律失常监测。治疗策略包括改变生活方式c、抗凝和抗心律失常药物,综合护理路径显示出良好的前景。尽管取得了进步,心房颤动仍然与不良后果有关,这强调了个性化管理策略和持续研究的必要性。
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