Atrial fibrillation lossis plhws

Atrial fibrillation lossis flutter yog ib hom kev pheej hmoo ntawm lub plawv dhia. Lub plawv atherosclerosis yog ceev thiab feem ntau tsis meej.

Thaum ua haujlwm zoo, 4 chav haujlwm ntawm daim ntawv cog lus lub plawv (nyem) hauv kev ua haujlwm.

Lub cim hluav taws xob taw qhia koj lub siab kom nqus cov ntshav txaus rau koj lub cev xav tau. Cov cim pib ua nyob rau hauv ib cheeb tsam hu ua kab mob siab (tseem hu ua qhov ntswg ntshav lossis SA ntawm).

Hauv atrial fibrillation, hluav taws xob lub plawv tsis zoo. Qhov no yog vim li cas cov ntshav tawm ntawm lub plawv tsis tuaj yeem tswj lub plawv lub plawv.

• Tej feem ntawm lub siab sib cog lus tsis raws qauv zoo.
• Vim li ntawd, lub siab tsis tuaj yeem nqus ntshav txaus kom tau raws li lub cev cov kev xav tau.

Hauv cov nplais atrial, cov hlab ntsha (hauv siab lub ntsej muag) yuav nrawm heev, tab sis nyob rau hauv cov qauv ib txwm muaj.

Cov teeb meem no cuam tshuam tau rau tus txiv neej thiab tus poj niam tib si. Lawv dhau los ua ntau dua nrog cov hnub nyoog nce.

Hom ua rau atrial fibrillation muaj xws li:

• Siv cawv (tshwj xeeb yog haus cawv)
• Kab mob rau cov hlab ntshav
• Plawv nres lossis kho plawv hla kev phais mob
• Lub plawv tsis ua haujlwm lossis ua kom lub siab tawv
• Tus kab mob rau lub plawv (feem ntau cov caj pas mitral)
• Tawg siab
• Cov tshuaj kho mob
• Kev mob qog ua ntshav (hyperthyroidism)
• Mob rau hlwv
• Mob sinus syndrome

Koj tuaj yeem tsis paub tias koj lub siab tsis raug ntaus yam li ib txwm muaj.

Cov tsos mob yuav pib lossis nres dheev. Qhov no yog vim tias atrial fibrillation yuav nres lossis pib nws tus kheej.

Cov tsos mob tuaj yeem suav nrog:

• Cov mem tes uas hnov ​​nrawm nrawm, sib tw, sib tshiav, sib dhos, tsis xwm yeem, lossis dhau qeeb
• Hnov ntawm kev hnov ​​mob plawv (dhia tawm hauv siab)
• Tsis meej pem
• Kiv taub hau, pom ntaj
• Tsaus muag
• Nkees
• Tsis muaj peev xwm ib ce muaj zog
• Ua tsis taus pa

Tus kws saib xyuas kev noj qab haus huv tuaj yeem hnov ​​lub plawv dhia nrawm thaum mloog koj lub plawv nrog lub ntsej muag pob ntseg. Koj cov mem tes yuav mloog sai, tsis xwm yeem, lossis ob qho tib si.

Lub plawv dhia siab li qub yog 60 mus rau 100 tus tauj ib feeb. Hauv atrial fibrillation lossis plhws, lub plawv yuav yog 100 mus rau 175 neeg ntaus ib feeb. Ntshav siab yuav sib luag lossis qis.

Ib qho ECG (ib qho kev ntsuas uas sau cov hluav taws xob kev ua haujlwm ntawm lub plawv) tuaj yeem qhia atrial fibrillation lossis atrial flutter.

Yog tias koj lub plawv khiav tsis zoo tuaj thiab mus, koj yuav tsum hnav lub tsom iav tshwj xeeb los ntsuas qhov teeb meem. Tus kws tshuaj xyuas sau lub plawv lub plawv ntev raws sijhawm.

• Cov xwm txheej saib (3 txog 4 lub lim tiam)
• Holter saib (24-teev kuaj)
• Implanted voj cov ntaub ntawv (ntxiv saib)

Kev kuaj mob nrhiav kab mob hauv lub plawv yuav muaj:

• Echocardiogram (duab hluav taws xob hauv lub plawv)
• Kev ntsuam xyuas los tshuaj xyuas cov ntshav ntawm lub plawv dhia
• Kev ntsuam xyuas los kawm txog cov kab ke plawv hluav taws xob

Kev kho mob Cardioversion yog siv los ua kom lub plawv rov qab mus rau hauv lub hauv paus ib ce tam sim. Muaj ob txoj hauv kev kho mob:

• Foob shocks rau koj lub siab
• Cov tshuaj tau muab los ntawm txoj hlab ntshav

Cov kev kho mob no tuaj yeem ua tiav txoj hauv kev kub ntxhov, lossis npaj ua ntej.

Cov tshuaj txhua hnub noj ntawm qhov ncauj yog siv los:

• Ua rau lub plawv dhia tsis xwm yeem - Cov tshuaj no suav nrog beta-blockers, calcium channel blockers, thiab digoxin.
• Tiv thaiv kom txhob mob atrial fibrillation los ntawm kev rov qab los -- Cov tshuaj no ua haujlwm tau zoo hauv ntau tus neeg, tab sis lawv tuaj yeem muaj kev phiv loj heev. Atrial fibrillation rov qab los ntawm ntau tus neeg, txawm tias thaum lawv tseem noj cov tshuaj no.

Tus txheej txheem hu ua radiofrequency ablation tuaj yeem siv rau caws pliav nyob rau hauv koj lub plawv qhov teeb meem mob plawv. Qhov no tuaj yeem tiv thaiv cov teeb liab hluav taws xob tsis zoo uas ua rau atrial fibrillation lossis nplaim taws los ntawm kev tsiv mus rau hauv koj lub plawv. Koj yuav tsum muaj lub plawv dhia tom qab ua tus txheej txheem no. Txhua tus neeg nrog atrial fibrillation yuav tsum paub paub tswj hwm tus mob no hauv tsev li cas.

Cov neeg muaj atrial fibrillation feem ntau yuav tsum tau noj tshuaj pab ntshav cov ntshav nyias nyias. Cov tshuaj no siv los txo kev pheej hmoo ntawm kev txhim kho ntshav txhaws uas mus ncig hauv lub cev (thiab uas tuaj yeem ua rau mob stroke, piv txwv). Lub plawv plawv atherosclerosis uas tshwm sim nrog atrial fibrillation ua rau cov ntshav txhaws.

Cov tshuaj rau cov ntshav muaj xws li heparin, warfarin (Coumadin), apixaban (Eliquis), rivaroxaban (Xarelto), edoxaban (Savaysa) thiab dabigatran (Pradaxa). Cov tshuaj tiv thaiv kab mob xws li tshuaj aspirin los yog clopidogrel kuj tseem yuav raug kho. Txawm li cas los xij, cov roj ntsha ua rau ntshav muaj qhov nce ntxiv ntau dua, kom txhua tus tsis tuaj yeem siv.

Lwm txoj hauv kev tiv thaiv kev tiv thaiv kab mob rau cov neeg uas tsis tuaj yeem noj cov tshuaj no yam muaj kev nyab xeeb yog Watchman Device, uas tsis ntev los no tau pom zoo los ntawm FDA. Qhov no yog qhov pob tawb me me uas cog rau hauv lub plawv kom tiv thaiv thaj chaw ntawm lub plawv uas feem ntau cov pob txhaws. Qhov no txwv clots daim ntawv sib sau.

Koj tus kws kho mob yuav txiav txim xyuas koj lub hnub nyoog thiab lwm yam teeb meem kev kho mob thaum txiav txim siab cov hom kev tiv thaiv mob stroke zoo tshaj rau koj.

Kev kho mob tuaj yeem tswj hwm tus mob no. Ntau tus neeg nrog atrial fibrillation ua tau zoo heev nrog kev kho mob.

Atrial fibrillation nyhav rov qab los thiab heev dua. Nws tuaj yeem rov qab los hauv qee tus neeg, txawm hais tias muaj kev kho mob.

Cov kem uas tawg tawm thiab mus rau hauv lub hlwb tuaj yeem ua rau mob stroke.

Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob ntawm atrial fibrillation lossis plhws.

Tham nrog koj tus kws kho mob txog cov kauj ruam los kho cov mob uas ua rau mob atrial fibrillation thiab nplaim taws. Tsis txhob haus cawv.

Auricular fibrillation; A-fib; Afib

• Atrial fibrillation - paug tawm
• Lub plawv khiav ceev - paug
• Noj tshuaj warfarin (Coumadin, Jantoven) - dab tsi yuav nug koj tus kws kho mob

• Lub Plawv - seem ntawm ntu nruab nrab
• Plawv - saib ua ntej
• Plab plawv mob txhaws
• Ua ntej ntawm cov hlab ntsha hauv plawv
• Kev ua tiav ntawm lub siab

Lub Ib Hlis CT, Wann LS, Calkins H, li al. 2019 AHA / ACC / HRS tsom rau kev hloov kho tshiab ntawm 2014 AHA / ACC / HRS cov txheej txheem rau kev tswj hwm cov neeg mob nrog atrial fibrillation: ib daim ntawv tshaj tawm ntawm Asmeskas College ntawm Cardiology / American Heart Association Task Force ntawm Cov Kev Ntsuam Xyuas Kev xyaum thiab lub plawv ua haujlwm hauv lub plawv kev koom tes nrog Kev Koom Tes ntawm Thoracic Neeg phais neeg. Kev ncigCov. 2019; 140 (6) e285. PMID: 30686041 pubmed.ncbi.nlm.nih.gov/30686041.

Meschia JF, Bushnell C, Boden-Albala B, li al. Cov lus qhia rau kev tiv thaiv kev tiv thaiv mob stroke thawj: ib nqe lus rau cov kws kho mob los ntawm American Heart Association / American Stroke Association. Mob stroke. Xyoo 2014; 45 (12): 3754-3832. PMID: 25355838 pubmed.ncbi.nlm.nih.gov/25355838.

Morady F, Zipes DP. Atrial fibrillation: cov kab mob kev saib xyuas, kev ua haujlwm, thiab kev tswj hwm. Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawv. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 38.

Zimetbaum P. Supraventricular mob arrhythmias. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil Tshuaj. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 58.