RESUMO
The British Heart Rhythm Society's Clinical Practice Guidelines on the Management of Patients Developing QT Prolongation on Antipsychotic Medication are written for heart rhythm consultants, primary care physicians, specialist registrars, nurses and physiologists who may be requested to review ECGs or advise on cases where antipsychotic-induced QT prolongation is suspected or proven. The guidance is adapted from the latest Maudsley Prescribing Guidelines in Psychiatry, published in 2018.
RESUMO
The management of atrial fibrillation is complex and is influenced by the type of AF, the severity of symptoms, underlying disease and patient choice. The aim of treatment is to alleviate symptoms, prevent strokes and reduce other complications, such as heart failure. The incidence of AF is increasing due to an ageing population and most health professionals will encounter patients with AF during their career. A widespread knowledge of AF management among the nursing profession is important to ensure that appropriate treatment and patient support are provided. This article is the second in a two-part series on AF. Part one discussed the importance of detecting and treating AF and screening strategies. This second part discusses the management of AF and treatment options, using recent guidelines.
Assuntos
Anticoagulantes/uso terapêutico , Fibrilação Atrial/tratamento farmacológico , Anticoagulantes/efeitos adversos , Fibrilação Atrial/epidemiologia , Fibrilação Atrial/terapia , Hemorragia/prevenção & controle , Humanos , Incidência , Trombose/prevenção & controle , Reino Unido/epidemiologiaRESUMO
Atrial fibrillation is the most common arrhythmia and the likelihood of having it increases with age. If left untreated it can lead to heart failure and is a significant risk factor for stroke but risk can be greatly reduced with oral anticoagulation. Many people with AF remain asymptomatic, but the risk of stroke remains the same. Simple screening methods will help detect those at risk. Many of those with a diagnosis and at high risk of stroke remain untreated. This two-part series aims to raise awareness of the importance of early detection and appropriate treatment. Part one discusses the complications linked to AF and explores the nurse's role in screening; part two will look at management.
