Treatment of atrial fibrilation - a clear objectivewith a still obscure resolution

Authors: P. Neužil;  M. Táborský;  L. Šedivá;  P. Niederle
Authors‘ workplace: Kardiologické oddělení Nemocnice Na Homolce, Praha, přednosta doc. MUDr. P. Niederle, DrSc.
Published in: Prakt. Lék. 2004; (6): 330-333


Atrial fibrilation is of the most frequent arrhythmias in our population and is on the increase.Its overall prevalence is 0.5%, and in the population of aver 65 years of age it is 5%, and in thoseover 75 years even 9%. Its occurrence in patients suffering cardiovascular affections leads toa twofold morbidity and mortality and is the most frequent cause of a cerebral vascular event.Unlike other cardial arrhythmias the treatment of atrial fibrilation has no uniform pattern,and an individual approach is necessary. As a basis of therapy in newly established cases ofatrial fibrilation pharmacological treatment namely with IC and group III anti-arrhythmicalsis preferred.The authors present a review of therapy under check-up of ventricular response, the options ofanticoagulation treatment as well as non-pharmacological treatment of atrial fibrilation.

Key words:
atrial fibrilation - treatment - anti-arrhythmicals - beta-blockers - cathetrizingablation.

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