e****0
发帖数: 678 | 1 Management of A fib.
1. if the A fib is the first A fib and pt never had any other health
problems, we wait it out or do a cardio version, either of which will
convert back to NSR.
2. If pt has recurrent A fib,
A. if pt only has A fib, no other cardiovascular disease
1) Class IC – to start this category with a low dose. Watch QRS duration
May choose flecanide or Propafenone, if one is unsuccessful, chose another
one.
2) Class III
3) Ablation and amiodarone (reserve amiodarone as the last choice due to
many side effects.)
B. If pt not only has A fib but also has underline diseases
1) CAD
a) Then skip class IC, go straight to class III
b) Ablation or amiodarone
2) CHF with low EF
Choose amiodarone or Tikosyn
3) Severe LVH
Only choice is amiodarone. | h***r
发帖数: 206 | 2 好贴， 偶一个月后就要到心内的门诊转了。到时候要是问道偶， 偶就照葫芦画瓢，
呵呵。 | s********o
发帖数: 3319 | |
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