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Early or Delayed Cardioversion in Recent-Onset Atrial Fibrillation

Nikki A.H.A. Pluymaekers ... 心脑血管疾病 • 2019.04.18
• 将急性“不稳定”房颤复律可否改善血流动力学 • 有关心房颤动治疗的重要新研究 • 急诊科可否安全延迟新发房颤患者的心脏复律 • 心房颤动患者心脏复律时的抗凝治疗步入新阶段












在近期发生有症状心房颤动的急诊患者中,在4周时恢复窦性心律方面,观察等待疗法不劣于早期复律(由荷兰健康研究和开发组织[Netherlands Organization for Health Research and Development]等资助;RACE 7 ACWAS在ClinicalTrials.gov注册号为NCT02248753)。


Nikki A.H.A. Pluymaekers, M.D., Elton A.M.P. Dudink, M.D., Ph.D., Justin G.L.M. Luermans, M.D., Ph.D., Joan G. Meeder, M.D., Ph.D., Timo Lenderink, M.D., Ph.D., Jos Widdershoven, M.D., Ph.D., Jeroen J.J. Bucx, M.D., Ph.D., Michiel Rienstra, M.D., Ph.D., Otto Kamp, M.D., Ph.D., Jurren M. Van Opstal, M.D., Ph.D., Marco Alings, M.D., Ph.D., Anton Oomen, M.D., Charles J. Kirchhof, M.D., Ph.D., Vincent F. Van Dijk, M.D., Hemanth Ramanna, M.D., Ph.D., Anho Liem, M.D., Ph.D., Lukas R. Dekker, M.D., Ph.D., Brigitte A.B. Essers, Ph.D., Jan G.P. Tijssen, Ph.D., Isabelle C. Van Gelder, M.D., Ph.D., and Harry J.G.M. Crijns, M.D., Ph.D. for the RACE 7 ACWAS Investigators*
From the Departments of Cardiology (N.A.H.A.P., E.A.M.P.D., J.G.L.M.L., H.J.G.M.C.) and Clinical Epidemiology and Medical Technology Assessment (B.A.B.E.), the Cardiovascular Research Institute Maastricht (N.A.H.A.P., E.A.M.P.D., J.G.L.M.L., H.J.G.M.C.), Maastricht University Medical Center, Maastricht, VieCuri Medical Center Noord-Limburg, Venlo (J.G.M.), Zuyderland Medical Center, Heerlen (T.L.), Elisabeth-TweeSteden Hospital, Tilburg (J.W.), Diakonessen Hospital, Utrecht (J.J.J.B.), University of Groningen, Groningen (M.R., I.C.V.G.), VU University Medical Center Amsterdam (O.K.) and Academic Medical Center (J.G.P.T), Amsterdam, Medical Spectrum Twente, Enschede (J.M.V.O.), Amphia Hospital, Breda (M.A.), Antonius Hospital, Sneek (A.O.), Alrijne Hospital, Leiderdorp (C.J.K.), St. Antonius Hospital, Nieuwegein (V.F.V.D.), Haga Teaching Hospital, The Hague (H.R.), St. Franciscus Gasthuis, Rotterdam (A.L.), and Catharina Hospital, Eindhoven (L.R.D) — all in the Netherlands. Address reprint requests to Dr. Crijns at the Department of Cardiology, Maastricht University Medical Center, P. Debyelaan 25, 6229 HX Maastricht, the Netherlands, or at hjgm.crijns@mumc.nl. *A complete list of investigators in the RACE 7 ACWAS trial is provided in the Supplementary Appendix, available at NEJM.org.



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