Friday, June 22, 2007
nieuwste inzichten AF
ATRIAL FIBRILLATION
Paroxysmal Persistant
No therapy unless severe symptoms Accept permanent AF
e.s. Hypotension hf and angina pectoris plus aticoagulation
use: anticoagulantia
or
Consider arrhithmic
drug therapy
or
cardioversion
Long term anti-arrhythmic
Role primary care therapy unnecessary
anticoagulation
rate controle
Beta-blocker
Calcium channel blocker
Beta-blocker
Calcium channel blocker
Tot de risk factors behoren
History of hypertension1,6
and age 1,4
Beta blocker (Losartan zou beter zijn dan atenolol)
Amiodarone zou beste
zijn voor rhythme control
liefst met Calcium channel blocker
Paroxysmal Persistant
No therapy unless severe symptoms Accept permanent AF
e.s. Hypotension hf and angina pectoris plus aticoagulation
use: anticoagulantia
or
Consider arrhithmic
drug therapy
or
cardioversion
Long term anti-arrhythmic
Role primary care therapy unnecessary
anticoagulation
rate controle
Beta-blocker
Calcium channel blocker
Beta-blocker
Calcium channel blocker
Tot de risk factors behoren
History of hypertension1,6
and age 1,4
Beta blocker (Losartan zou beter zijn dan atenolol)
Amiodarone zou beste
zijn voor rhythme control
liefst met Calcium channel blocker