What is the care routine for atrial fibrillation and what are the diagnostic criteria for atrial fib

Diagnosis of atrial fibrillation is based on:

1.**: It is most common in rheumatic mitral valve stenosis, followed by coronary heart disease, hyperthyroidism, and can also be seen in chronic constrictive pericarditis, cardiomyopathy, viral myocarditis, etc., and can also be caused by cryogenic anesthesia, chest and heart surgery, acute infection and cerebrovascular accident.

2.There are two types of atrial fibrillation: paroxysmal and persistent, the former lasts for a short time and starts and ends suddenly, and the latter refers to those who continue to attack for more than 3 months without treatment and cannot be stopped, which is one of the bases for the diagnosis of atrial fibrillation.

3.There may be palpitations, cardiac insufficiency, unequal strength of heart sounds, irregular heart rhythm, and short pulse.

4.Electrocardiogram: P wave disappears, replaced by a series of small, different shapes, irregular frequency tremor waves, called F waves, QRS wave morphology and sinus the same, ventricular rhythm, -180 minutes, such as and third-degree atrioventricular block, the ventricular rate is slow and regular, pre-excitation syndrome with atrial fibrillation and bypass passage when the ventricular rate can be as fast as more than 200 minutes, QRS complex most have ventricular pre-excitation, which is one of the diagnostic bases for atrial fibrillation.

Experts pointed out that the diagnosis of atrial fibrillation requires the patient to cooperate with the doctor, so as not to aggravate the symptoms in the late stage and bring a series of negative effects to the later stage.

1.Patients with atrial fibrillation must observe whether the heart rhythm is neat 2Heart function, prolonged atrial fibrillation will have a certain impact on heart function, and patients should observe the changes in heart function. There are a few things to pay attention to in daily life, first of all, quit smoking, limit alcohol consumption, and avoid substances containing caffeine.

Do not eat high-fat, high-cholesterol foods, such as animal offal, animal oil, fatty meat, egg yolks, crabs, roe, etc. Open-minded, relaxed, peaceful and stable, excessive tension is especially easy to induce arrhythmia.

As mentioned earlier, taking medicine for heart tremor can only recover in a short period of time, and the ablation is only 60 successful, and finally you said that it can generally be cured, which is inconsistent, please ask which sentence you are true.

What should I pay attention to after minimally invasive surgery for atrial fibrillation repair?

The working mode that needs to be used in atrial fibrillation is good for you, atrial pacing method1, single atrial pacing The right atrial appendage is the most commonly used site for single atrial pacing, because the pacing electrode is easier to fix in this position. However, it is uncertain whether the right atrial appendage is the best part of atrial pacing** atrial fibrillation. In recent years, there have been many studies on reasonable pacemakers, and the conclusions are mixed.

For example, Yu et al. have shown that pacing at the right posterior septum or Bachmman bundle site has the least effect on the atrial refractory period, does not increase its dispersion, and the effect is better than that of pacing at other sites or even synchronous pacing of the atrial with double books. 2. Multi-site atrial pacing is divided into two types: biatrial synchronous pacing and right atrium multi-site pacing. In recent years, simultaneous biatrial pacing has been advocated

One electrode is placed in the right atrium, and the other special coronary sinus electrode is placed in the coronary sinus, and through the Y-adapter, the two pacing electrodes are combined and connected to the atrial interface of the pacemaker to perform simultaneous pacing of the atrium. 2. Pacing** and the mechanism of preventing atrial fibrillation 1. Trigger factor for inhibiting atrial fibrillation - atrial premature contraction At this time, the frequency of pacing should generally be more than 80 minutes to achieve the purpose of effectively inhibiting atrial prematurity. 2. Shorten the slow conduction in the room and in the room The role of multi-site atrial pacing is particularly obvious in this regard.

3. Shortened refractory period when reversing atrial fibrillation The shortening of atrial refractory period is the basic electrophysiological factor in the occurrence and maintenance of atrial fibrillation. 4. Benign hemodynamic effect Multi-site atrial pacing enhances the contractility of the atrium, accelerates atrial emptying, reduces the left atrial internal pressure, and alleviates the mechanical remodeling of the atrium. 3. Pacing**Indications for atrial fibrillation 1. Vagal atrial fibrillation can choose AAI mode, if accompanied by atrioventricular node dysfunction or bundle branch block, DDD mode of work is selected, pacing frequency is about 80 90 minutes, and anti-arrhythmic drugs need to be taken at the same time as pacing.

2. Atrial block atrial fibrillation This part of the patient's body surface ECG often has a widened P wave (120ms), and multi-site atrial pacing is selected. ** It is necessary to comprehensively analyze the basic condition of the patient, if there is advanced age, too large atrium, too wide P wave, too low atrial fibrillation, etc., it is generally not suitable to use. 3. Atrial fibrillation induced by the phenomenon of long and short cycles Atrial pacing can inhibit the long cycle and eliminate the phenomenon of long and short cycles, thereby eliminating the occurrence of atrial fibrillation.

4. Perioperative atrial fibrillation Simultaneous biatrial pacing is carried out through the epicardium during surgical cardiac surgery, and some studies have reported that the occurrence of atrial fibrillation can be significantly prevented.