Qhov sib txawv tseem ceeb ntawm valvular thiab non-valvular AF yog tias valvular AF yog hom atrial fibrillation tshwm sim vim muaj teeb meem nrog lub plawv valve, thaum uas tsis yog-valvular AF yog hom atrial fibrillation uas tsis tshwm sim. vim muaj teeb meem nrog lub plawv valve.
Atrial fibrillation (AF) yog lub xeev ntawm lub plawv tsis sib xws thiab nrawm heev. Qhov no tuaj yeem ua rau cov ntshav txhaws hauv lub plawv. Thaum kawg, nws ua rau muaj kev pheej hmoo mob stroke, plawv tsis ua hauj lwm, thiab lwm yam teeb meem hauv plawv. Yog li, valvular thiab non-valvular atrial fibrillations yog ob hom atrial fibrillation.
Valvular AF yog dab tsi?
Valvular AF yog hom atrial fibrillation uas tshwm sim vim muaj teeb meem nrog lub plawv valve. Nws raug suav hais tias yog valvular thaum nws tau pom nyob rau hauv cov neeg uas muaj lub plawv tsis ua haujlwm lossis lub plawv pob qij txha. Nyob ib ncig ntawm 3 mus rau 30% ntawm cov neeg uas muaj atrial fibrillation tau xav tias muaj valvular atrial fibrillation. Nws muaj peev xwm ua tau rau tus neeg uas muaj valvular AF tsis muaj tsos mob. Tus neeg ntawd tuaj yeem muaj tus mob no tau ntau xyoo thiab tsis paub txog nws kom txog thaum nws tau kuaj lub cev thiab electrocardiogram (EKG). Txawm li cas los xij, yog tias ib tus neeg muaj valvular atrial fibrillation, cov tsos mob yuav muaj xws li mob hauv siab, kiv taub hau, tsis meej pem, qaug zog, lub plawv dhia (flip-flop plawv), lub taub hau thiab ua tsis taus pa, thiab tsis muaj zog piav qhia. Ib qho ua rau valvular AF yog mitral stenosis. Qhov no txhais tau hais tias lub mitral valve yog nqaim hauv qhov loj dua li qhov loj me. Lwm qhov ua rau valvular AF yog muaj lub plawv li qub.
Daim duab 01: Valvular AF
Ntxiv rau qhov kev kuaj EKG, tus mob no tuaj yeem kuaj tau los ntawm echocardiogram, kev ntxhov siab echocardiography, hauv siab X-ray, thiab kuaj ntshav. Tsis tas li ntawd, cov kws kho mob tuaj yeem siv ntau yam kev kho mob los tiv thaiv cov ntshav txhaws thiab tswj lub plawv dhia thiab lub suab ntawm tus neeg mob. Cov tshuaj Anticoagulation pab kom txo tau cov ntshav txhaws. Feem ntau yog cov vitamin K antagonists (warfarin). Cov tshuaj anticoagulation tshiab muaj xws li cov tshuaj uas tsis yog vitamin K qhov ncauj anticoagulants xws li rivaroxaban, dabigatran, apixaban, thiab edoxaban. Cardioversion tuaj yeem siv los kho lub plawv lub plawv los ntawm kev muab hluav taws xob poob siab. Tsis tas li ntawd, qee cov tshuaj kuj tuaj yeem pab tswj lub plawv dhia; Cov no suav nrog miodarone, dofetillide, propafenone, thiab sotalol.
Non-valvular AF yog dab tsi?
Non-valvular AF yog ib hom ntawm atrial fibrillation tshwm sim vim muaj teeb meem xws li ntshav siab los yog cov thyroid caj pas ntau dhau. Cov tib neeg feem ntau yuav kis tau tus mob atrial fibrillation uas tsis yog-valvular yog tias lawv laus dua, muaj ntshav siab ntau xyoo, muaj kab mob plawv, haus cawv ntau, muaj cov neeg hauv tsev neeg uas muaj atrial fibrillation, thiab pw tsaug zog apnea.
Daim duab 02: Tsis yog-valvular AF
Cov tsos mob ntawm lub plawv tsis ua haujlwm atrial fibrillation suav nrog hauv siab tsis xis nyob, fluttering nyob rau hauv lub hauv siab, plawv palpitations, lightheadedness los yog ib qho kev xav ntawm tsaus muag, ua tsis taus pa luv, thiab unexplained qaug zog. Cov mob no tuaj yeem kuaj tau los ntawm kev kuaj lub cev, kuaj xyuas keeb kwm kho mob, electrocardiogram, echocardiogram, kuaj kev ntxhov siab, hauv siab X-ray, thiab kuaj ntshav. Tsis tas li ntawd, kev kho mob rau cov uas tsis yog-valvular AF muaj xws li kev hloov hauv kev ua neej (txiav rov qab ntsev kom txo cov ntshav siab, noj zaub mov zoo, txo kev ntxhov siab, tsis txhob haus cawv, kho pw tsaug zog apnea), tshuaj xws li tshuaj tiv thaiv kab mob los tiv thaiv ntshav txhaws (vitamin K antagonists (warfarin), non-vitamin K qhov ncauj anticoagulants (dabigatran, rivaroxaban, apixaban), tshuaj rau kev tswj lub plawv dhia (beta-blockers los yog calcium channel blockers), tshuaj ua kom lub plawv dhia (ofetilide, amiodarone, sotalol) thiab lwm cov txheej txheem (cardioversion, ablation, maze txheej txheem, pacemaker nrog atrioventricular nodal ablation).
Dab tsi yog qhov zoo sib xws ntawm Valvular thiab Non-valvular AF?
- Valvular thiab non-valvular atrial fibrillations yog ob hom atrial fibrillation.
- Ob hom tuaj yeem ua rau lub plawv tsis sib xws thiab nrawm heev.
- Ntxiv mus, lawv tuaj yeem ua rau cov ntshav txhaws hauv lub plawv.
- Lawv ua rau muaj kev pheej hmoo mob stroke, lub plawv tsis ua haujlwm, thiab lwm yam mob plawv.
- Ob hom tuaj yeem kho tau los ntawm cov tshuaj xws li tshuaj tiv thaiv kab mob thiab kev phais xws li cardioversion.
Qhov txawv ntawm Valvular thiab Non-valvular AF yog dab tsi?
Valvular AF yog hom atrial fibrillation tshwm sim vim muaj teeb meem nrog lub plawv valve, thaum uas tsis yog-valvular AF yog hom atrial fibrillation uas tsis tshwm sim vim muaj teeb meem nrog lub plawv valve. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm valvular thiab non-valvular AF. Tsis tas li ntawd, valvular AF feem ntau yog tshwm sim los ntawm mitral stenosis thiab lub plawv li qub. Ntawm qhov tod tes, tsis yog-valvular AF feem ntau tshwm sim los ntawm cov ntshav siab thiab cov thyroid caj pas ntau dhau.
Cov hauv qab no infographic nthuav tawm qhov sib txawv ntawm valvular thiab non-valvular AF hauv daim ntawv tabular rau ib sab ntawm kev sib piv.
Summary – Valvular vs Non-valvular AF
Valvular thiab non-valvular atrial fibrillations yog ob hom atrial fibrillation. Ob hom tuaj yeem ua rau cov ntshav txhaws hauv lub plawv, uas ua rau muaj kev pheej hmoo mob stroke, plawv tsis ua haujlwm, thiab lwm yam teeb meem hauv lub plawv. Valvular AF yog tshwm sim vim muaj teeb meem nrog lub plawv valve. Tsis yog-valvular AF yog hom atrial fibrillation uas tsis tshwm sim vim muaj teeb meem nrog lub plawv valve. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm valvular thiab non-valvular AF.
