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雑誌文献

medicina55巻3号

2018年03月発行

文献概要

特集 —クリニカル・クエスチョンで学ぶ—循環器薬の使い方 不整脈患者に使用する薬

心房細動では抗不整脈薬やアブレーションでリズムコントロールしたほうがよいですか?

著者: 藤原竜童1

所属機関: 1大阪府済生会中津病院循環器内科

ページ範囲:P.441 - P.445

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 下記のQuestionに対する回答は「ケースバイケース」である.
 回答の難しさの所以は,心房細動そのものの多様性と,心房細動を発症した患者背景の多様性にある.

参考文献

1)Berger M, et al:Timing of thromboembolic events after electrical cardioversion of atrial fibrillation or flutter;A retrospective analysis. Am J Cardiol 82:1545-1547, 1998
2)Cardiac Arrhythmia Suppression Trial(CAST)Investigators:Preliminary report;Effect of encainide and flecainide on mortality in a randomized trial of arrhythmia suppression after myocardial infarction. N Engl J Med 321:406-412, 1989
3)Siontis KC, et al:Typical, atypical, and asymptomatic presentations of new-onset atrial fibrillation in the community;Characteristics and prognostic implications. Heart Rhythm 13:1418-1424, 2016
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12)Miyazaki S, et al:Preprocedural predictors of atrial fibrillation recurrence following pulmonary vein antrum isolation in patients with paroxysmal atrial fibrillation;Long-term follow-up results. J Cardiovasc Electrophysiol 22:621-625, 2011
13)Friberg L, et al:Catheter ablation for atrial fibrillation is associated with lower incidence of stroke and death;Data from Swedish health registries. Eur Heart J 37:2478-2487, 2016
14)Kato T, et al:Progressive nature of paroxysmal atrial fibrillation. Observations from a 14-year follow-up study. Circ J 68:568-572, 2004
15)Van Gelder IC, et al:Duration of device-detected subclinical atrial fibrillation and occurrence of stroke in ASSERT. Eur Heart J 38:1339-1344, 2017
16)Al-Khatib SM, et al:Outcomes of apixaban vs. warfarin by type and duration of atrial fibrillation;Results from the ARISTOTLE trial. Eur Heart J 34:2464-2471, 2013
17)Probst J, et al:Thoracoscopic epicardial left atrial ablation in symptomatic patients with atrial fibrillation. Europace 18:1538-1544, 2016
18)Ohtsuka T, et al:Thoracoscopic stand-alone left atrial appendectomy for thromboembolism prevention in nonvalvular atrial fibrillation. J Am Coll Cardiol 62:103-107, 2013

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1189

印刷版ISSN:0025-7699

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