ID 110316
Title Transcription
シンボウ サイドウ ト ソクセンショウ : イツ ドノヨウナ チリョウ オ ハジメルカ
Title Alternative
Atrial fibrillation and thromboembolic stroke : when and how can it be treated
Author
Yamada, Hirotsugu Department of Cardiovascular Medicine, and Ultrasound Examination Center, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Kenya, Kusunose Department of Cardiovascular Medicine, and Ultrasound Examination Center, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Nishio, Susumu Department of Cardiovascular Medicine, and Ultrasound Examination Center, Tokushima University Hospital
Soeki, Takeshi Department of Cardiovascular Medicine, and Ultrasound Examination Center, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Sata, Masataka Department of Cardiovascular Medicine, and Ultrasound Examination Center, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Keywords
atrial fibrillation
thrombosis
stroke
transesophageal echocardiography
qumadin
Content Type
Journal Article
Description
Atrial fibrillation(AF)is a common arrhythmia and the prevalence of this arrhythmia is increasing as aging. Secondary AF is defined as AF with organic heart disease and lone AF as AF without it. The AF is divided into paroxysmal, persistent and chronic by its onset and persistence. It is clinically important that any type AF causes thromboembolic stroke. The preventive Qumadin therapy should be applied to patients with AF. Transesophageal echocardiography has been utilized for the diagnosis of left atrial thrombus and for the prediction of stroke. CHADS2 score is a clinical prediction rule for estimating the risk of stroke in patients with non-rheumatic AF. Patients with CHADS2 score_1should be treated with Qumadin. Rhythm control and rate control are two different strategies for the treatment of AF. There is no evidence that indicate better choice between rhythm control and rate control. Recently, inhibitors of the renin-angiotensin system have a potential to prevent new onset of AF in patients who has risk factors.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
66
Issue
3-4
Start Page
63
End Page
70
Sort Key
63
Published Date
2010-08-25
EDB ID
FullText File
language
jpn
TextVersion
Publisher
departments
University Hospital
Medical Sciences