Manejo de pacientes con fibrilación auricular con respuesta ventricular rápida que consultan a un servicio de urgencias.

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Bibliographic Details
Title: Manejo de pacientes con fibrilación auricular con respuesta ventricular rápida que consultan a un servicio de urgencias.
Alternate Title: Management of patient with atrial fibrillation with rapid ventricular response seen in the emergency room.
Authors: Salas, Felipe1 fesaled90@javerianacali.edu.co, Cristancho, Estefanía2 estefaniacristanchog@javerianacali.edu.co
Source: Acta Medica Colombiana. oct-dic2025, Vol. 50 Issue 4, p1-1. 1p.
Subjects: ATRIAL fibrillation, EMERGENCY management, TACHYCARDIA, DIGOXIN, ANTICOAGULANTS, MEDICAL protocols, AMIODARONE, RISK assessment
Abstract (English): The article addresses the management of patients with atrial fibrillation and rapid ventricular response in emergency services, highlighting the importance of characterizing this condition in a regional context that is underrepresented in the scientific literature. It notes a partial adherence to international clinical guidelines, with a significant use of amiodarone and digoxin, which contrasts with current recommendations that prioritize beta-blockers and calcium antagonists. Additionally, it mentions the low proportion of anticoagulated patients, underscoring a gap in the prevention of strokes. The implementation of risk stratification protocols and the need for multicenter studies to improve the applicability of the findings are suggested. [Extracted from the article]
Abstract (Spanish): El artículo aborda el manejo de pacientes con fibrilación auricular y respuesta ventricular rápida en servicios de urgencias, destacando la importancia de caracterizar esta condición en un contexto regional poco representado en la literatura científica. Se señala una adherencia parcial a las guías clínicas internacionales, con un uso significativo de amiodarona y digoxina, lo que contrasta con las recomendaciones actuales que priorizan betabloqueadores y calcioantagonistas. Además, se menciona la baja proporción de pacientes anticoagulados, lo que resalta una brecha en la prevención de accidentes cerebrovasculares. Se sugiere la implementación de protocolos de estratificación de riesgo y la necesidad de estudios multicéntricos para mejorar la aplicabilidad de los hallazgos. [Extracted from the article]
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Database: MedicLatina
Description
Abstract:The article addresses the management of patients with atrial fibrillation and rapid ventricular response in emergency services, highlighting the importance of characterizing this condition in a regional context that is underrepresented in the scientific literature. It notes a partial adherence to international clinical guidelines, with a significant use of amiodarone and digoxin, which contrasts with current recommendations that prioritize beta-blockers and calcium antagonists. Additionally, it mentions the low proportion of anticoagulated patients, underscoring a gap in the prevention of strokes. The implementation of risk stratification protocols and the need for multicenter studies to improve the applicability of the findings are suggested. [Extracted from the article]
ISSN:01202448
DOI:10.36104/amc.2025.4772