Fibrilación auricular de baja respuesta ventricular con colocación de marcapaso como tratamiento
Atrial fibrillation is an irregular and often very fast heart rhythm (arrhythmia) that can lead to blood clots in the heart. This pathology increases the risk of stroke, heart failure, and other heart-related complications. During AF, the upper chambers (atria) of the heart beat chaotically and irre...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | Spanish |
| Published: |
2022
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| Subjects: | |
| Online Access: | https://dialnet.unirioja.es/servlet/oaiart?codigo=8294232 |
| Source: | RECIMUNDO: Revista Científica de la Investigación y el Conocimiento, ISSN 2588-073X, Vol. 6, Nº. 1, 2022, pags. 51-60 |
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| Summary: |
Atrial fibrillation is an irregular and often very fast heart rhythm (arrhythmia) that can lead to blood clots in the heart. This pathology increases the risk of stroke, heart failure, and other heart-related complications. During AF, the upper chambers (atria) of the heart beat chaotically and irregularly, out of sync with the lower chambers (ventricles) of the heart. In many people, atrial fibrillation can be asymptomatic. However, it can cause a fast and pounding heartbeat (palpitations), shortness of breath, or weakness. The definitive diagnosis is electrocardiographic, that is, absence of P waves and lack of equidistance between the three components of the wave. Among, its potential causes are: stress, post-surgical cardiovascular states, drug poisoning, alcohol abuse, cocaine and abstinence from these. It can also be caused by hypoxia and hypercapnia, metabolic or hemodynamic alterations such as hyperthyroidism. In those cases, in which antiarrhythmic drugs are insufficient or cause significant and symptomatic bradyarrhythmias, it may be necessary to implant a pacemaker, either to be able to administer full doses of slowing drugs or, in cases where drugs cannot control the heart rate. The general approach of this work is to present the characteristics, risk factors and diagnostic methods of atrial fibrillation with low ventricular response with pacemaker placement as treatment. The results were obtained through the development of a bibliographic type research, limited to a review methodology, which allows to conclude that despite the growing development of research in this area, studies are required that allow obtaining more precise knowledge of the underlying pathophysiological mechanism, This will allow a rational and adjusted use of available therapeutics and the exploration of new drugs, both for symptomatic treatment and for prognostic evolution. |
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