心房細動のトータルマネジメント

出版社: 文光堂
著者:
発行日: 2014-03-10
分野: 臨床医学:内科  >  循環器一般
ISBN: 9784830619229
電子書籍版: 2014-03-10 (第1版第5刷)
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心房細動は最もありふれた不整脈である.従来より不整脈をどう治療するかに関心が向けられていたが,決して心房細動患者の生命予後は良くないことがわかってきた.しかし昨今新しい抗凝固薬が出されたことにより,心原性脳塞栓症を予防し,生命予後の改善をする基盤が整いつつある.本書では,抗不整脈薬を漫然と使うことを避け,「脈のコントロールから生命予後の改善へ」を治療姿勢として,心房細動のトータルマネジメントを行うための考え方や方法をまとめた.

目次

  • 心房細動のトータルマネジメント

    ―目次―

    I はじめに─心房細動診療の常識が変わった!─

    II 治療の常識が変わった!
     A. 抗凝固療法は必須─では具体的にどうする?─
     B. レートコントロールは心房細動治療の基礎である
     C. カテーテルアブレーションを有効に活用する
     D. 抗不整脈薬によるリズムコントロールは限定的
     E. 心房細動の原因を治療し予防しよう

    III 知っておくべき心房細動の知識あれこれ
     A. 心房細動の分類とその意義
     B. 心房細動の合併症は血栓だけではない
     C. 心房細動患者にするべき検査とその意義

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I はじめに - 心房細動診療の常識が変わった ! -

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II 治療の常識が変わった !

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6) Atarashi, H et al : Present status of anticoagulation treatment in Japanese patients with atrial fibrillation. a report from the J-RHYTHM Registry. Circ J 2011 ; 75 : 1328-1333
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2) Hart, RG et al : Meta-analysis : antithrombotic therapy to prevent stroke in patients who have nonvalvular atrial fibrillation. Ann Intern Med 2007 ; 146 : 857-867
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III 知っておくべき心房細動の知識あれこれ

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