Camm AJ, et al. Guidelines for the management of atrial fibrillation. ESC 2010;12:1360-420.
Penegakan Diagnosis (1)
Penegakan Diagnosis (2)
Tatalaksana FA
Pencegahan Stroke
Prevalensi stroke pada pasien FA
Penaksiran risiko stroke dan risiko perdarahan
Terapi anti-trombotik
Kendali Laju
Kendali Irama
Stroke and AF – the size of the challenge
AF = atrial fibrillation.
Personal communication by Dr Matt F Visit www.SPAF-Academy.com
Types of stroke in patients with AF
Haemorrhagic
(8%)
Ischaemic stroke
(n=5810)
Haemorrhagic stroke
(n=484)
Ischaemic
(92%)
Based on data collected in the Danish National Indicator Project for 39 484 patients hospitalized for stroke
(including 6294 patients with AF)
17
Andersen KK et al. Stroke 2009;40:2068–72
Penaksiran Risiko Stroke
Skor CHA2DS2-VASc
Congestive heart failure
Hypertension
Age≥75 years (skor 2)
Diabetes mellitus
Stroke history (skor 2)
peripheral Vascular disease
Age between 65 to 74 years
Sex Category (female)
Penaksiran Risiko Perdarahan
Camm AJ, et al. 2012 focused update of the ESC Guidelines for the management of atrial
fibrillation. Eur Heart J. 2012;33:2719-47.
Terapi Antitrombotik
Kendali Laju pada
FA dengan respon ventrikel cepat
FA dengan gangguan hemodinamik
Kardioversi Masih
elektrik simtomatik
Kardioversi
farmakologis
(amiodaron)/kar
dioversi elektrik
Tata Laksana Jangka Panjang
Kendali Laju
Jangka
Panjang
Kendali Irama Jangka Panjang
Kendali Irama Jangka Panjang
Ringkasan
FA merupakan aritmia yang paling sering ditemukan pada
praktek klinik sehari-hari
Kejadian FA meningkat sejalan dengan peningkatan usia
Konsekuensi klinis FA terutama stroke dan gagal jantung
Tatalaksana FA meliputi terapi antikoagulan untuk
pencegahan stroke, kendali laju dan kendali irama