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https://doi.org/10.15836/ccar2024.633

Treatment of atrial fibrillation: from pharmacological to interventional therapy

Marina Klasan orcid id orcid.org/0000-0001-9863-4113 ; University Hospital Centre Zagreb, Zagreb, Croatia
Ivana Hodanić orcid id orcid.org/0000-0002-3403-4773 ; University Hospital Centre Zagreb, Zagreb, Croatia
Katarina Matković orcid id orcid.org/0000-0002-6868-3579 ; University Hospital Centre Zagreb, Zagreb, Croatia
Ivan Šragalj orcid id orcid.org/0009-0006-6571-0849 ; University Hospital Centre Zagreb, Zagreb, Croatia
Saša Bura orcid id orcid.org/0000-0001-5937-4865 ; University Hospital Centre Zagreb, Zagreb, Croatia


Puni tekst: engleski pdf 123 Kb

str. 633-633

preuzimanja: 99

citiraj

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Sažetak

Ključne riječi

atrial fibrillation; pharmacological therapy; interventional therapy

Hrčak ID:

329029

URI

https://hrcak.srce.hr/329029

Datum izdavanja:

13.12.2024.

Posjeta: 269 *



Atrial fibrillation (AF) is the most common persistent arrhythmia, affecting millions of patients worldwide and carrying a significant risk of serious complications such as stroke, thromboembolism, heart failure, and reduced quality of life. The goal of AF treatment is to control heart rhythm and rate, reduce symptoms, and prevent complications, particularly stroke. AF treatment includes various therapeutic options, chosen based on the severity of symptoms, patient age, comorbidities, and the risk of complications. Modern approaches to AF treatment include pharmacological methods (anticoagulants, antiarrhythmics, and drugs for rhythm and rate control) and interventional therapies such as electrical and pharmacological cardioversion, catheter ablation, and pacemaker implantation. Today, physicians take a holistic approach, combining these methods to achieve optimal results. Special attention is given to interventional therapy, especially catheter ablation, which has proven highly effective in patients with symptomatic atrial fibrillation who do not respond to medications. This minimally invasive procedure allows for the precise location and destruction of heart tissue causing the arrhythmia, restoring normal heart rhythm. (1) Nurses and technicians play a key role in the treatment process, whether by monitoring patients’ heart rhythms, administering therapy, educating patients on symptom self-management, or providing support after invasive procedures.

LITERATURE

1 

Hindricks G, Potpara T, Dagres N, Arbelo E, Bax JJ, Blomström-Lundqvist C, et al. ESC Scientific Document Group. 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with EACTS. Eur Heart J. 2021 February 1;42(5):373–498. https://doi.org/10.1093/eurheartj/ehaa612 PubMed: http://www.ncbi.nlm.nih.gov/pubmed/32860505


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