房颤转律(英文）精选.pptVIP

Cardioversion of Atrial FibrillationClinical Issues Cardioversion of Atrial FibrillationClinical Issues When and why cardiovert? Why not wait for spontaneous cardioversion? When and why acutely cardiovert? How to acutely cardiovert Electrical Pharmacologic Both AFFIRMBaseline Characteristics Age = 69.7 ± 9.0 yrs 39% female 2 days of AF in 69% CHF class II in 9% Symptomatic AF in 88% Trials of Rate vs Rhythm Control Implications of Trials: Guideline Statement Theoretically, rhythm control should have advantages over rate control, yet a trend toward lower mortality was observed in the rate