Rối loạn nhịp nhĩ ở bệnh nhân thông liên nhĩ: Tỉ lệ mắc bệnh, diễn biến, tiên lượng và chỉ định điều trị

Dang Quang Huy, Nguyen Minh Ngoc, Le Ngoc Thanh

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Abstract

Atrial fibrillation, atrial flutter and atrial tachycardia are the most common atrial arrythmias in ASD patients.  Age was a risk factor, and the incidence was significantly increased in patients over 40 years. Left atrial dimension, mitral   and   tricuspid   regurgitation were prognosis factors. Even though the risk decreased after surgical or percutaneous closure of the ASD, recurrent arrythmia may appear after long follow-up time. The Maze procedure for treating or preventing atrial arrythmias may help lower the incidence of stroke and bleeding due to anticoagulant agents postoperatively. Clinical evidences proved that diagnosis of atrial arrythmia shoud be confirmed preoperatively in ASD patients.  Maze procedure in combination with ASD closure operation was an efficient treatment for those patients.

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References

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