China News Service, Shanghai, February 18 (Chen Jingshengxing) If it is not effectively controlled for a long time, atrial fibrillation will induce cerebral infarction and heart failure, which can then threaten people's lives.
The reporter learned on the 18th that the Department of Cardiology of Shanghai Tenth People's Hospital innovatively proposed the "AF-PACC" fully closed-loop diagnosis and treatment strategy, which realized personalized and precise diagnosis and treatment of atrial fibrillation patients, allowing patients with different disease stages and requiring different treatment methods. You can get one-stop medical service here.
"AF-PACC strategy", that is, comprehensive evaluation of atrial fibrillation (AF, atrial fibrilltion), flexible use of a combination of multiple treatment methods.
These treatments include physiological pacing (Pace), AV ablation (Ablation/AV node), left atrial appendage closure (Closure), cryo/catheter ablation (Cryo/Catheter), and the like.
It is understood that this original comprehensive treatment strategy with Chinese characteristics has been proven through several years of practice, which can help patients with atrial fibrillation to formulate more personalized and accurate diagnosis and treatment plans, so as to effectively deal with recurrence of atrial fibrillation, ischemic stroke, and deterioration of cardiac function. The risk of atrial fibrillation diagnosis and treatment loop is closed and one-stop management is realized.
The combination of "AF-PACC strategy" and clinical practice requires doctors to master more techniques and higher requirements at the same time.
Photo courtesy of Shanghai Tenth Hospital
Xu Yawei, director of the Department of Cardiology, told reporters that whether it is cerebral infarction or heart failure, the consequences are very serious.
Once "disability" or even death is caused due to the progression of atrial fibrillation, it will be a heavy burden on individuals, families and society.
However, for atrial fibrillation, the treatment methods in the past are very limited, and the symptoms can only be controlled by antiarrhythmic drugs.
Although thermal ablation has a significant effect, due to the diffusion effect of thermal energy in human tissue, it will inevitably damage normal heart tissue while "burning" the tissue that produces abnormal electrical signals.
At the same time, because thermal ablation requires general anesthesia, it is not suitable for elderly patients with a variety of underlying diseases and poor tolerance.
While learning foreign treatment experience, the Shanghai Tenth Hospital Cardiology team led by Prof. Xu Yawei has established atrial fibrillation treatment based on drug therapy, catheter ablation, left atrial appendage closure, atrioventricular node improvement, and physiological pacing. Therapeutic "toolbox".
The doctor's treatment is no longer limited to the thinking of each sub-professional, but looks at the progress of the patient's atrial fibrillation process as a whole, conducts accurate assessment, selects an appropriate single plan or combination plan, and carries out personalized treatment, so as to achieve symptoms Goals of control and stroke prevention.
Xu Yawei told reporters that the combination of "AF-PACC strategy" and clinical practice requires doctors to have more skills and higher requirements at the same time, and at the same time put more emphasis on standardized management of patients.
It is reported that the medical team of the hospital has established a file for each inpatient with atrial fibrillation, improved various sub-specialty surgical skills, fixed the postoperative follow-up mode, and established a chronic disease management system of atrial fibrillation in conjunction with relevant community medical service centers to ensure treatment. continuity.
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