症狀/併發症(symptom/complication) | @heart rate is up to 350~400/Min @sustained: longer than 30 seconds @Palpitations @chest tightness @dyspnea @syncope @heart failure @stroke: thrombus from atrium to brain @mediated cardiomyopathy @heart enlargement @Thromboembolic events complication @thrombosis in atrium |
病因(etiology) | |
檢查/準則(examination/criteria) | #ECG: P wave is absent and QRS is irregular ![]() 資料來源:afib.utorontoeit ##P wave in Leads I, II, and III show the classical appearance of AF, the "undulating baseline" ![]() 資料來源:dochemp #evaluation: CHADS2 Score |
治療(treatment) | $CHADS2 Score>2 use warfarin to prevent thrombosis $CHADS2 0 or 1-->use aspirin to prevent thrombosis $catheter modification/ablation $AV node blocker: digoxin, verapamil, beta-blockers $anti-arrhythmia drug: Class IC, III $electrical cardioversion $心臟再同步化治療(Cardiac resynchronization therapy, CRT) $Anticoagulants, ex: warfarin to prevent thrombosis |
鑑別診斷(Differential Diagnosis) | |
流行病學(Epidemiology) | +most common arrhythmia +elder and hypertension patient is usually seen |
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