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Radiofrequency ablation is usually used**!
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Atrial fibrillation needs to be symptomatic according to the specific**, and the common ones include hypertension, coronary heart disease, rheumatic valvular heart disease, cardiomyopathy, alcohol consumption and exertion. For example, for patients with coronary heart disease, you can consider using propranolol or Yi'an Ning Pill, which has the effects of replenishing qi and invigorating blood, benefiting the liver and kidneys, and nourishing the heart and soothing the nerves, so as to alleviate the symptoms of premature contractions.
In addition, radiofrequency ablation can be used in patients with ineffective or symptomatic paroxysmal atrial fibrillation and in patients with difficult-to-control ventricular rates. Anticoagulation** Embolism prevention can be done with aspirin and the coumarin oral anticoagulant warfarin. Methods such as His's bundle dissection, corridor surgery, and maze surgery can also be used to increase the height of the ruler than atrial fibrillation**.
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Throughout atrial fibrillation**, it mainly includes: cardioversion and maintenance of sinus rhythm, control of ventricular rate and anticoagulation** to prevent thromboembolism, prevention of atrial fibrillation, atrial fibrillation foci**, etc. In terms of methods, it can be divided into two categories: drugs and non-drugs, which mainly involve radiofrequency ablation, pacemakers, in vivo atrial defibrillators, surgery, and left atrial appendage occlusion.
Atrial fibrillation reversal: This can be done with medication or electric shock. Cardioversion is not as effective as cardioversion, but cardioversion requires sedation or anesthesia versus drug reversal, and the risk of cardioversion is mainly thrombotic events and arrhythmias.
Ventricular rate control: is another effective method of atrial fibrillation, especially the results of the AFFIRM trial showed that cardioversion and maintenance of sinus rhythm are not superior to control of ventricular rate in improving quality of life, hospitalizations, and mortality, so control of ventricular rate may be the first choice for atrial fibrillation, as is cardioversion. Anticoagulation**:
Extremely important in patients with atrial fibrillation who have high-risk factors for stroke. The results of several large-scale clinical trials have shown that warfarin may benefit patients with atrial fibrillation. However, patients receiving warfarin** (particularly older patients) are at high risk of intracranial hemorrhage and are complex to adjust the dose and require repeated INR measurements.
The recent SPROTIF trial has shown that the anticoagulation effect of the new oral thrombin inhibitor cimilatatan (Ximdla-Gatran) is similar to that of warfarin, but without the drawbacks described above. In addition, percutaneous left atrial appendage closure is a good option for patients with chronic atrial fibrillation who have contraindications to anticoagulation or are poorly tolerated.
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DSA target radiofrequency ablation of atrial fibrillation, this method is to carry out continuous ablation around the left and right sides of the pulmonary veins, so as to form a ring of ablation lines on the left and right sides, so as to block the irregular electrical activity that causes atrial fibrillation, so as to achieve the purpose of atrial fibrillation.
Drink mung bean porridge. Drink ice water.
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