Treatment of patients with both atrial fibrillation and heart failure remains uneasy. In theory maintenance of sinus rhythm is desirable but the only pharmacological intervention able to do it safely ...is amiodarone. A trial of strategy randomisation, restoration of sinus rhythm or slowing of atrial fibrillation, has been done in patients with both atrial fibrillation and heart failure. This trial, named AF-CHF has shown neutral results, the 2 strategies, rhythm control or simple rate control were similar in terms of mortality. Dronedarone is an innovative drug bringing new possibilities in the treatment of atrial fibrillation but it is contra-indicated in case of severe heart failure. Another possible approach is that of non pharmacological techniques. Sinus rhythm maintenance may be obtained by pulmonary vein isolation. The other possibility is the ablation of atrio-ventricular node with implantation of a pacemaker, technique which is reserved to selected patients.
The incidence of atrial fibrillation increases rapidly with population age. Atrial fibrillation essentially presents a problem of long-term management. Strategies of rhythm or rate control should be ...considered on a case-by-case basis for each individual. Anticoagulation treatment is indicated in most cases. Radiofrequency ablation by pulmonary vein isolation is an unquestionably innovative treatment but is reserved for selected patients.
L’incidence de la fibrillation atriale croît rapidement avec le vieillissement de la population.
La fibrillation atriale pose essentiellement un problème de prise en charge thérapeutique.
Les ...stratégies de réduction ou de ralentissement sont à discuter en fonction de chaque cas particulier.
L’anticoagulation par antivitamines K est dans la plupart des cas indiquée.
L’ablation par isolation des veines pulmonaires est une innovation thérapeutique indiscutable mais réservée à certains patients sélectionnés.
The incidence of atrial fibrillation increases rapidly with population age.
Atrial fibrillation essentially presents a problem of long-term management.
Strategies of rhythm or rate control should be considered on a case-by-case basis for each individual.
Anticoagulation treatment is indicated in most cases.
Radiofrequency ablation by pulmonary vein isolation is an unquestionably innovative treatment but is reserved for selected patients.
Thoracic aortic aneurysm: direct sign of rupture Marijon, Eloi; Vilanculos, Alda; Tivane, Adriano ...
Cardiovascular journal of Africa,
2007 May-Jun, 20070501, Letnik:
18, Številka:
3
Journal Article
Recenzirano
Hypertension, wall thinning and aortic enlargement are the most important factors increasing wall stress and causing aortic aneurysms to rupture. Computed tomography, especially with contrast image ...enhancement, usually shows the aortic anatomy with great clarity and distinguishes a ruptured aortic aneurysm from an acute aortic syndrome.
Hypertension, wall thinning and aortic enlargement are the most important factors increasing wall stress and causing aortic aneurysms to rupture. Computed tomography, especially with contrast image ...enhancement, usually shows the aortic anatomy with great clarity and distinguishes a ruptured aortic aneurysm from an acute aortic syndrome.
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