الرجفان الأذيني الدائم: عندما لا يكفي ضبط معدل ضربات القلب بعلاج أحادي

References

DOI: 10.1093/eurheartj/ehae176

• AF for which no further attempts at restoration of sinus rhythm are planned, after a shared decision between the patient and physician.
• Combination rate control therapy should be considered if a single drug does not control symptoms or heart rate in patients with AF, providing that bradycardia can be avoided, to control heart rate and reduce symptoms.
• Note that the combination of beta-blockers with diltiazem or verapamil should only be used under specialist advice, and monitored with an ambulatory ECG to check for bradycardia.
• Lenient rate control with a resting heart rate of <110 b.p.m. should be considered as the initial target for patients with AF, with stricter control reserved for those with continuing AF-related symptoms.