Fibrilácia predsiení – epidémia 21. storočia

Atrial fibrillation is a most common sustained cardiac arrhythmia. It causes higher morbidity and mortality, higher stroke frequency and tromboembolism as well as hemodynamic disturbances that impair physical tolerance and can worse the heart failure. There are two ways how to manage atrial fibrillation: to restore and to maintain the sinus rhythm or to control the heart rate. Both strategies can be realized in pharmacological or non-pharmacological way. Although the use of the antiarrhythmics is still dominant in case of atrial fibrillation, the use of nonpharmacological methods like pacing, ablation and surgery are more and more frequent.