SciELO - Scientific Electronic Library Online

vol.21 número4Historia del melanoma maligno en uruguayBases científicas de la analgesia acupuntural índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Revista Médica del Uruguay

versión impresa ISSN 0303-3295


VANERIO BALBELA, Gabriel et al. Fibrilación auricular: más vale prevenir que tratar. Rev. Méd. Urug. [online]. 2005, vol.21, n.4, pp. 269-281. ISSN 0303-3295.

Summary Atrial fibrillation is the most common sustained arrhythmia. It affects 0.6% of the overall population and 6 to 8% in elderly people aged 60 to 80 years respectively. Patients with atrial fibrillation show a morbility five times higher and twice mortality rates. This review analyzes electric and anatomy atrial remodelation. Risk factors are also discussed: age, followed by diastolic heart failure, are the most relevant risk factors. Aggresive treatment might invert structural changes provoked by hypertension, and could prevent atrial fibrillation. Effects of non-antiarrhythmic and antiarrhythmic drugs are described. Finally we focused on primary and secondary prevention. Atrial fibrillation is not an homogenous entity: many parameters affect initiation, perpetuation and ending ot this condition. For many patients, our goal is modest: to reduce frequency, lenght and severity of episodes; but for other patients, prevention may be definitive.

Palabras llave : FIBRILACIÓN ATRIAL [prevención y contro].

        · resumen en Español | Francés     · texto en Español     · pdf en Español