Risk Stratification and Management of Patient with Atrial Fibrillation
| Main Authors: | Dinarti, Lucia Kris; dr.Sardjito Hospital, Yogyakarta, Suciadi, Leonardo Paskah; Siloam Hospital, Jakarta |
|---|---|
| Format: | application/pdf eJournal |
| Bahasa: | eng |
| Terbitan: |
Journal of the Indonesian Medical Association
, 2009
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| Online Access: |
http://indonesia.digitaljournals.org/index.php/idnmed/article/view/649 |
Daftar Isi:
- Atrial fibrillation is the most common sustained arrhythmia in clinical practice, affecting about 0.4-1% of general population especially the elderly. Early detection and accurate management are important to reduce patient’s mortality and morbidity, as well as improve the quality of life. Management of patients with atrial fibrillation involves three objective – identification of the underlying factor, consideration between strategy rate-rhythm control, and prevention of thromboembolism. Irrespective of a rate-control or rhythm-control strategy, stroke prevention with appropriate thromboprophylaxis still remains central to the management of atrial fibrillation. Risk stratification of thromboembolism is best estimated with the CHADS2 score (Congestive heart failure, Hypertension, Age >75 years, Diabetes, 1 point each; prior Stroke or transient ischaemic attack, 2 points).Keywords: atrial fibrillation, thromboembolism, rate control, rhythm control, risk stratification