8/10/2019 Atrial Fibrillation Handout

1/5

8/10/2019 Atrial Fibrillation Handout

2/5

A F 16 M 10

D R N , M.D., M. ., FIM A 2

C A F ( )

, , ,

, ,

, ,

, ,

,

7

A F AF (R HD, H H ,

C , C H D , CAD) E BNP AF L A F AF

E H , O2

, BP, , .

8

I 12 L ECG

L , D H R E L H, LBBB, P MI Q QR

( ) H ; E E ( E), EE ( ) C R , R F , E

9

A F P AF:

7 (

8/10/2019 Atrial Fibrillation Handout

3/5

A F 16 M 10

D R N , M.D., M. ., FIM A 3

C A F A C

E DC

DC

R (AFFIRM)

L

C HI

O

13

A A AF A C E AF > 48 E A I AC H LM H O ( ) INR

14

R F AF ,

( )

, , ,

15

CHAD 2

,

16

CHAD 2 ICHAD 2 ( ) A I %

0 1.9

1 2.8

2 4.0

3 5.9

4 8.5

5 12.5

6 18.2

N A F R

17

R

R F R F A

H R F P / IA E E

M R F A >75, HF, H, EF

8/10/2019 Atrial Fibrillation Handout

4/5

A F 16 M 10

D R N , M.D., M. ., FIM A 4

R . RR C R

A < 65; N RF A 325 /

A 65 75, DM, CAD1 RF G A 3252 RF (INR 2.0 3.0)

A > 75, H , L D,M D,P H , , IA, PE M 2 M RF

(INR 2.5 3.5)

A F A

19

P AF E , IA, P E A H E

A INR

A R A , C E

CHAD 2

CHAD 2 A C

CHAD 2 3 / H

1 2, H/ , IA, CAD, H, F20

R C C R A CCB G I.. ROAD B HR < 80 ; < 110 (6 , M ) D HF L A C II

21

R C F I.. I CCB (DL , PM), B (M , E ) D F E AF ; D ; N CCB, BB D ; N

A AF CHF BP F A AF CCB

22

R C R R (AFFIRM)

I

R R

C I (F , P ) CAD

I CAD D H F A

23

R C R R C R , A R A R I R Q & I C

24

8/10/2019 Atrial Fibrillation Handout

5/5

A F 16 M 10

D R N , M.D., M. ., FIM A 5

AAD AFAA D C D I R CI / P

A III 200 400 OD HD, HF O ADR B ,

D I II 125 250 BD HD, HF N CKD,Q

I II 80 160 BID N H D M Q , P

F I 50 150 BID N H D PIP L AF C AD, BB

P I 150 300 OD N HD PIP CAD, BB

D A 400 BID N HD H F Q , B

25AFFIRM, CAST, CTAF, SAFE-T, RACE

C E E (I I CIII)

M 7

A

P

B ,

D (DC)

M 26

C H AF

AF

P ECG AF

N AF

P

DC QR ;

100 200 J

27

L M R

R

C , E

M C AF

A AF ,

AF AF, R R

28

A

MA E

C A

C

C

A &

P E

P A A A D 29

H P A F E C R AF A AF E A R . R B CCB AAD AF C , C A , MA E

30