[AF-FORUM] 147R 急诊及随后一天房颤快室率控制Dr. Vorotniak

[AF Symposium]

  Dear Dr. Pereyra,
我同意您在急诊室急性房颤的控制建议。的确如此， 
非常重要的一点是不急于对患者进行恰当的危险度分 
层。我不解的是静注可达龙之前要弹丸式注射依诺肝 
素（enoxaparin）？有没有证据支持该处理方法？
我还向想请教另一个问题：对于长期服用普罗帕酮的 
患者，您是否会使用胺碘酮来逆转急性房颤发作？
致
Dr. Sergio Dubner
组委会主席
Dr. Edgardo Schapachnik
科委会主席
王玲洁译

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

Dear Dr. Pereyra,
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