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文献詳細

雑誌文献

medicina58巻4号

2021年04月発行

文献概要

増刊号 救急診療 好手と悪手 循環器系

心房細動,上室性頻拍—救急外来から患者に寄り添う不整脈治療を始めよう

著者: 井上敦人1 溝辺倫子1

所属機関: 1東京ベイ浦安・市川医療センター救急集中治療科

ページ範囲:P.78 - P.82

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こんな対応は悪手
①とりあえずワソラン®(ベラパミル塩酸塩)
②診断後,すぐに不整脈治療開始
③rhythm control(洞調律復帰)を目指す
④帰って安静にしていれば大丈夫
⑤高齢だから抗凝固療法を行わない

参考文献

1)日本循環器学会,他:2020年改訂版 不整脈薬物治療ガイドライン,2020 https://www.j-circ.or.jp/cms/wp-content/uploads/2020/01/JCS2020_Ono.pdf(2020年12月閲覧)
2)Appelboam A, et al:Postural modification to the standard Valsalva manoeuvre for emergency treatment of supraventricular tachycardias(REVERT);A randomised controlled trial. Lancet 386:1747-1753, 2015
3)January CT, et al:2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation;Executive summary;A report of the American College of Cardiology/American Heart Association Task Force on practice guidelines and the Heart Rhythm Society. Circulation 130:2071-2104, 2014
4)Chugh SS, et al:Worldwide epidemiology of atrial fibrillation;A Global Burden of Disease 2010 Study. Circulation 129:837-847, 2014
5)Liu G, et al:Meta-analysis of nonsteroidal anti-inflammatory drug use and risk of atrial fibrillation. Am J Cardiol 114:1523-1529, 2014
6)Wyse DG, et al:A comparison of rate control and rhythm control in patients with atrial fibrillation. N Engl J Med 347:1825-1833, 2002
7)Van Gelder IC, et al:A comparison of rate control and rhythm control in patients with recurrent persistent atrial fibrillation. N Engl J Med 347:1834-1840, 2002
8)Roy D, et al:Rhythm control versus rate control for atrial fibrillation and heart failure. N Engl J Med 358:2667-2677, 2008
9)Hindricks G, et al:2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association of Cardio-Thoracic Surgery(EACTS). Eur Heart J:ehaa612, 2020, Online ahead of print
10)Arnold AZ, et al:Role of prophylactic anticoagulation for direct current cardioversion in patients with atrial fibrillation or atrial flutter. J Am Coll Cardiol 19:851-855, 1992
11)Naccarelli GV, et al:Cost-effective management of acute atrial fibrillation;Role of rate control, spontaneous conversion, medical and direct current cardioversion, transesophageal echocardiography, and antiembolic therapy. Am J Cardiol 85:36D-45D,2000
12)Marrouche NF, et al:Catheter ablation for atrial fibrillation with heart failure. N Engl J Med 378:417-427, 2018
13)Mark DB, et al:Effect of catheter ablation vs medical therapy on quality of life among patients with atrial fibrillation;The CABANA Randomized Clinical Trial. JAMA 321:1275-1285, 2019
14)Berruezo A, et al:Pre-procedural predictors of atrial fibrillation recurrence after circumferential pulmonary vein ablation. Eur Heart J 28:836-841, 2007
15)Nguyen TN, et al:The impact of frailty on mortality, length of stay and re-hospitalisation in older patients with atrial fibrillation.Heart Lung Circ 25:551-557, 2016
16)Yamashita Y, et al:Clinical characteristics and outcomes in extreme elderly(Age ≥ 85 Years)Japanese patients with atrial fibrillation;The Fushimi AF Registry. Chest 149:401-412, 2016
17)Olesen JB, et al:Validation of risk stratificationschemes for predicting stroke and thromboembo-lism in patients with atrial fi brillation;Nationwidecohort study. BMJ 342:d124, 2011

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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