心房颤动的直流电心脏复律。

Q4 Medicine

Ugeskrift for laeger Pub Date : 2024-10-14 DOI:10.61409/V04240249

Bo Løfgren, Jonas Bjerring Olesen, Ulla Davidsen, Andi Eie Albertsen

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引用次数: 0

摘要

直流电（DC）心脏转复术是用于恢复心房颤动窦性心律的日常临床手术。本综述总结了丹麦目前的技术水平。直流电心脏起搏前必须确保充分的抗凝治疗，以降低血栓栓塞的风险。建议通过前外侧电极进行双相最大能量冲击。总体成功率高，并发症发生率低。心房颤动复发很常见，应与患者合作制定长期治疗策略，包括抗心律失常药物、消融术和改变生活方式。

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DC cardioversion of atrial fibrillation.

Direct current (DC) cardioversion is an everyday clinical procedure used to restore sinus rhythm from atrial fibrillation. This review summarises the current state of art in Denmark. Sufficient anticoagulation must be ensured before DC cardioversion to reduce the risk of thromboembolism. Biphasic maximum energy shocks delivered via anterolateral electrodes are recommended. Overall success is high, and the complication rate is low. Relapse of atrial fibrillation is common, and a long-term treatment strategy which may include antiarrhythmics, ablation and lifestyle change should be established in collaboration with the patient.

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来源期刊

Ugeskrift for laeger Medicine-Medicine (all)

CiteScore

0.20

自引率

0.00%

发文量

345

期刊介绍： The Ulster Medical Journal is an international general medical journal with contributions on all areas of medical and surgical specialties relevant to a general medical readership. It retains a focus on material relevant to the health of the Northern Ireland population. The Honorary Editor would welcome offers of papers for publication. Prospective authors are invited to read the notice to contributors.