[AF-FORUM] 147R 急诊室房颤室率控制－Dr. Vorotniak

[AF Symposium]

亲爱的Dr.Pereira：
我同意你关于急诊室处理急性房颤的观点。的确，不 
要急于处理，重要的是对患者的真正危险因素恰当分 
层。但是在使用胺碘酮之前是否弹丸式给予伊诺肝 
素，关于这一处理我仍不明确，是否有证据支持这一 
处理方法？

我还想请教另外一个问题：
对于一名长期应用普罗帕酮的患者，您是否会应用静 
脉注射胺碘酮转复一次急性的房颤发作事件？

谨致问候

Dr .Andriy Vorotniak
Buenos Aires, Argentina

施根灵译 王玲洁校
Dr. Edgardo Schapachnik
组委会主席
Dr. Sergio Dubner
President of Scientific Committee
科委会主席

147R A-FibTach RATE control in ER and the next day. Dr. Vorotniak

Dear Dr. Pereira,
I agree with your comments about acute AF management in the ER. Yes,
it is very important not to rush and to stratify appropriately the
real risk for the patient. What is not clear for me is the
administration of the enoxaparin in bolus, before infusion of
amiodarone. Is there evidence supporting this management?
I would like to ask another question:
In a patient receiving propafenone chronically: would you use EV
amiodarone to reverse an episode of acute AF?
Kind regards,

Dr .Andriy Vorotniak
Buenos Aires, Argentina

--
Dr. Sergio Dubner
President of Scientific Committee

Dr. Edgardo Schapachnik
President of Steering Committee