门诊治疗心房颤动的抗心律失常药物。

IF 4.7 4区 医学 0 MEDICINE, GENERAL & INTERNAL
Minerva medica Pub Date : 2023-12-01 Epub Date: 2023-06-20 DOI:10.23736/S0026-4806.23.08524-5
Andrew S Tseng, Christopher V Desimone, Gurukripa N Kowlgi
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引用次数: 0

摘要

随着心房颤动(房颤)患者早期节律控制证据的不断增加,门诊环境下的房颤管理变得更具挑战性。初级保健临床医生通常是房颤药物治疗的第一线。由于药物相互作用和原发性心律失常的风险,许多临床医生对于抗心律失常药物处方的启动和长期管理仍然犹豫不决。然而,随着抗心律失常药物在早期节律控制中的使用可能会增加,了解和熟悉这些药物同样变得更加重要,尤其是因为房颤患者可能还有其他非心脏疾病,这些疾病可能会影响他们的抗心律失常治疗。在这篇全面的综述中,我们提供了翔实、高产的病例和寓教于乐的参考文献,有助于初级保健提供者自如地处理各种临床情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Antiarrhythmic drugs for atrial fibrillation in the outpatient setting.

With burgeoning evidence for early rhythm control in patients with atrial fibrillation (AF), the management of AF in the outpatient setting has become more challenging. The primary care clinician often serves as the frontline in the pharmacologic management of AF. Because of drug interactions and the risk of proarrhythmia, many clinicians remain hesitant about the initiation and chronic management of antiarrhythmic drug prescriptions. However, with the likely increased use of antiarrhythmics for early rhythm control, understanding and familiarity with these medications have likewise become more important, especially since patients with AF probably have other non-cardiac medical conditions that can impact their antiarrhythmic therapy. In this comprehensive review, we provide informative, high-yield cases and edifying references that will help primary care providers become comfortable handling various clinical scenarios.

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来源期刊
Minerva medica
Minerva medica 医学-医学:内科
CiteScore
6.40
自引率
6.40%
发文量
358
审稿时长
>12 weeks
期刊介绍: Minerva Medica publishes scientific papers on internal medicine. Manuscripts may be submitted in the form of editorials, original articles, review articles, case reports, special articles, letters to the Editor and guidelines. The journal aims to provide its readers with papers of the highest quality and impact through a process of careful peer review and editorial work. Duties and responsibilities of all the subjects involved in the editorial process are summarized at Publication ethics.
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