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• W2768340570 abstract "La fibrilación auricular que inicia en el paciente críticamente enfermo tiene factores de riesgo, desenlaces clínicos y tratamiento diferentes al escenario ambulatorio. Su incidencia en cuidados intensivos generales está alrededor del 4,5 al 15%, frecuentemente es un evento transitorio considerado un marcador de severidad de la enfermedad y un factor de riesgo para morbimortalidad. A pesar de ello, pocos estudios clínicos respaldan las intervenciones realizadas. La reversión de condiciones desencadenantes es el primer paso del manejo, una estrategia de control de frecuencia cardíaca debe ser el objetivo inicial y la utilización de cardioversión eléctrica o medicación antiarrítmica se determina según la estabilidad hemodinámica del paciente. Por último, una estimación adecuada del riesgo de sangrado y de eventos cerebrovasculares isquémicos debe definir el inicio de anticoagulación. New-onset atrial fibrillation in the critically ill patient has different risk factors, clinical outcomes, and treatments than in the outpatient setting. Its incidence in general intensive care is about 4.5% to 15%, and is often a transient event, as well as being considered a marker of the severity and a risk factor for morbidity and mortality. However, few clinical studies support the interventions. Treatment of the triggering cause is its first step of management, an strategy of control the heart rate must be the initial goal, and the use of electrical or pharmacological cardioversion should be determined by the stability of the patient. Finally, an appropriate estimate of the risk of bleeding and stroke should define the start of anticoagulation." @default.
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• W2768340570 date "2018-01-01" @default.
• W2768340570 modified "2023-09-26" @default.
• W2768340570 title "Fibrilación auricular de novo en el paciente crítico: ¿en dónde estamos?" @default.
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• W2768340570 doi "https://doi.org/10.1016/j.acci.2017.10.004" @default.
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