心房颤动基层诊疗指南(2019年)

2020-06-14 中华医学会 中华全科医师杂志.2020.19(6):465-473.

心房颤动(atrial fibrillation,AF)是临床上最常见的心律失常之一。心悸、胸闷和运动耐量下降是常见的临床症状,也有一些心室率不快的慢性心房颤动患者无明显症状,而在体格检查或因其他原因

中文标题:

心房颤动基层诊疗指南(2019年)

发布机构:

中华医学会

发布日期:

2020-06-14

简要介绍:

心房颤动(atrial fibrillation,AF)是临床上最常见的心律失常之一。心悸、胸闷和运动耐量下降是常见的临床症状,也有一些心室率不快的慢性心房颤动患者无明显症状,而在体格检查或因其他原因做心电图时发现。体格检查可发现心律绝对不齐,第一心音强弱不等,脉短绌。心电图表现为P波消失,代之以不规则的f波,RR间期绝对不规则。由于心房失去有效收缩,并伴有快速或缓慢心室率,导致心脏功能下降,心房内附壁血栓形成。血栓脱落可致卒中及体循环栓塞,可危及生命,并严重影响患者的生命质量。

 

下载附件:

(因为版权问题,不支持下载)

评论区 (82)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=2115803, encodeId=3e4a2115803e4, content=温故知新, beContent=null, objectType=guider, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=feee1298096, createdName=137157bba8m, createdTime=Tue Feb 21 21:40:32 CST 2023, time=2023-02-21, status=1, ipAttribution=四川省), GetPortalCommentsPageByObjectIdResponse(id=1240928, encodeId=fe08124092853, content=非常好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=35d55513869, createdName=ms7000001102537872, createdTime=Thu Aug 25 14:39:35 CST 2022, time=2022-08-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1232783, encodeId=ea3f1232e837f, content=好好学习天天向上, beContent=null, objectType=guider, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160414/IMG570FBE7A07E895161.jpg, createdBy=681a1704705, createdName=田田7760, createdTime=Sat Jul 16 11:54:38 CST 2022, time=2022-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1227686, encodeId=7917122e686f2, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210302/6b0b2d3a0add41aab0b7131586b1293c/d9a578def59f463dbe18f6b25cd983dc.jpg, createdBy=57862311617, createdName=ilzira, createdTime=Tue Jun 21 09:47:00 CST 2022, time=2022-06-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1194295, encodeId=2e14119429586, content=棒, beContent=null, objectType=guider, channel=null, level=null, likeNumber=133, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f4d92110516, createdName=buku, createdTime=Thu Feb 17 08:13:43 CST 2022, time=2022-02-17, status=1, ipAttribution=)]
    2023-02-21 137157bba8m 来自四川省

    温故知新

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=2115803, encodeId=3e4a2115803e4, content=温故知新, beContent=null, objectType=guider, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=feee1298096, createdName=137157bba8m, createdTime=Tue Feb 21 21:40:32 CST 2023, time=2023-02-21, status=1, ipAttribution=四川省), GetPortalCommentsPageByObjectIdResponse(id=1240928, encodeId=fe08124092853, content=非常好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=35d55513869, createdName=ms7000001102537872, createdTime=Thu Aug 25 14:39:35 CST 2022, time=2022-08-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1232783, encodeId=ea3f1232e837f, content=好好学习天天向上, beContent=null, objectType=guider, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160414/IMG570FBE7A07E895161.jpg, createdBy=681a1704705, createdName=田田7760, createdTime=Sat Jul 16 11:54:38 CST 2022, time=2022-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1227686, encodeId=7917122e686f2, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210302/6b0b2d3a0add41aab0b7131586b1293c/d9a578def59f463dbe18f6b25cd983dc.jpg, createdBy=57862311617, createdName=ilzira, createdTime=Tue Jun 21 09:47:00 CST 2022, time=2022-06-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1194295, encodeId=2e14119429586, content=棒, beContent=null, objectType=guider, channel=null, level=null, likeNumber=133, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f4d92110516, createdName=buku, createdTime=Thu Feb 17 08:13:43 CST 2022, time=2022-02-17, status=1, ipAttribution=)]
    2022-08-25 ms7000001102537872

    非常好

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=2115803, encodeId=3e4a2115803e4, content=温故知新, beContent=null, objectType=guider, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=feee1298096, createdName=137157bba8m, createdTime=Tue Feb 21 21:40:32 CST 2023, time=2023-02-21, status=1, ipAttribution=四川省), GetPortalCommentsPageByObjectIdResponse(id=1240928, encodeId=fe08124092853, content=非常好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=35d55513869, createdName=ms7000001102537872, createdTime=Thu Aug 25 14:39:35 CST 2022, time=2022-08-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1232783, encodeId=ea3f1232e837f, content=好好学习天天向上, beContent=null, objectType=guider, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160414/IMG570FBE7A07E895161.jpg, createdBy=681a1704705, createdName=田田7760, createdTime=Sat Jul 16 11:54:38 CST 2022, time=2022-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1227686, encodeId=7917122e686f2, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210302/6b0b2d3a0add41aab0b7131586b1293c/d9a578def59f463dbe18f6b25cd983dc.jpg, createdBy=57862311617, createdName=ilzira, createdTime=Tue Jun 21 09:47:00 CST 2022, time=2022-06-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1194295, encodeId=2e14119429586, content=棒, beContent=null, objectType=guider, channel=null, level=null, likeNumber=133, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f4d92110516, createdName=buku, createdTime=Thu Feb 17 08:13:43 CST 2022, time=2022-02-17, status=1, ipAttribution=)]
    2022-07-16 田田7760

    好好学习天天向上

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=2115803, encodeId=3e4a2115803e4, content=温故知新, beContent=null, objectType=guider, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=feee1298096, createdName=137157bba8m, createdTime=Tue Feb 21 21:40:32 CST 2023, time=2023-02-21, status=1, ipAttribution=四川省), GetPortalCommentsPageByObjectIdResponse(id=1240928, encodeId=fe08124092853, content=非常好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=35d55513869, createdName=ms7000001102537872, createdTime=Thu Aug 25 14:39:35 CST 2022, time=2022-08-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1232783, encodeId=ea3f1232e837f, content=好好学习天天向上, beContent=null, objectType=guider, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160414/IMG570FBE7A07E895161.jpg, createdBy=681a1704705, createdName=田田7760, createdTime=Sat Jul 16 11:54:38 CST 2022, time=2022-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1227686, encodeId=7917122e686f2, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210302/6b0b2d3a0add41aab0b7131586b1293c/d9a578def59f463dbe18f6b25cd983dc.jpg, createdBy=57862311617, createdName=ilzira, createdTime=Tue Jun 21 09:47:00 CST 2022, time=2022-06-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1194295, encodeId=2e14119429586, content=棒, beContent=null, objectType=guider, channel=null, level=null, likeNumber=133, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f4d92110516, createdName=buku, createdTime=Thu Feb 17 08:13:43 CST 2022, time=2022-02-17, status=1, ipAttribution=)]
    2022-06-21 ilzira

    学习了

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=2115803, encodeId=3e4a2115803e4, content=温故知新, beContent=null, objectType=guider, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=feee1298096, createdName=137157bba8m, createdTime=Tue Feb 21 21:40:32 CST 2023, time=2023-02-21, status=1, ipAttribution=四川省), GetPortalCommentsPageByObjectIdResponse(id=1240928, encodeId=fe08124092853, content=非常好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=35d55513869, createdName=ms7000001102537872, createdTime=Thu Aug 25 14:39:35 CST 2022, time=2022-08-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1232783, encodeId=ea3f1232e837f, content=好好学习天天向上, beContent=null, objectType=guider, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160414/IMG570FBE7A07E895161.jpg, createdBy=681a1704705, createdName=田田7760, createdTime=Sat Jul 16 11:54:38 CST 2022, time=2022-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1227686, encodeId=7917122e686f2, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210302/6b0b2d3a0add41aab0b7131586b1293c/d9a578def59f463dbe18f6b25cd983dc.jpg, createdBy=57862311617, createdName=ilzira, createdTime=Tue Jun 21 09:47:00 CST 2022, time=2022-06-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1194295, encodeId=2e14119429586, content=棒, beContent=null, objectType=guider, channel=null, level=null, likeNumber=133, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f4d92110516, createdName=buku, createdTime=Thu Feb 17 08:13:43 CST 2022, time=2022-02-17, status=1, ipAttribution=)]
    2022-02-17 buku

    0