Atrial Fibrillation (AF), Flutter atrial, AV-nodal reentry tachycardia (AVNRT) oo leh jawaab celin degdeg ah ventricular, atrial ectopic tachycardia iyo preexcitation syndromes (AVRT) mararka qaarkood lagu daro AF ama tachyarrhythmias ventricular (VTA) waa arrhythmias caadiga ah ee bukaanka degdega ah. Inta badan, ogaanshaha arrhythmia hoose ayaa suurtagal ah laga bilaabo 12-lead ee elektiroonigga ah ee korka, baaritaanka jireed iyo jawaabta maneuvers ama daroogooyinka. Hemodynamics aan degganayn, DC-cardioversion isla markiiba ayaa la tilmaamayaa. U beddelashada AF oo loo beddelo laxanka sinus (SR) waa suurtagal iyadoo la isticmaalayo dawooyinka lidka ku ah arrhythmic. Amiodarone waxay leedahay heerka beddelka AF ilaa 80%. Daawo cusub oo loogu talagalay beddelka AF waa mid cad. Daawaynta degdega ah ee atrial flutter (Aflut) ee pts daryeelka degdega ah waxay ku xidhan tahay soo bandhigida kiliinikada. Badanaa waxaa si guul leh loogu wareejin karaa SR oo leh tamar DC ka yar 50 joules. Tachycardia adag ee cidhiidhiga ah, haddii bukaanku uu hemodynamic ahaan deggan yahay, daawaynta waa in lagu bilaabo dhaqdhaqaaq vagal. Haddii tachycardia sii socoto oo flutter atrial laga saaro, isticmaalka adenosine (6 mg sida iv bolus degdeg ah) ayaa la soo jeediyay. Joojinta guusha leh ee loo yaqaan 'vagal maneuver' ama adenosine waxay muujinaysaa inay ahayd AVNRT ama AVRT. Haddii aysan jirin wax jawaab ah adenosine (xitaa ka dib bolus labaad) daawo waqti dheer sii shaqaynaysa (tusaale verapamil, diltiazem) ayaa lagula talinayaa. Daawooyinka sida procainamide, sotalol, amiodarone ama magnesium ayaa lagula talinayaa in lagu daaweeyo pts VTA. Si kastaba ha ahaatee, maanta kaliya amiodarone waa daroogada doorashada ee VTA pts iyo sidoo kale waxtar leh xitaa pts leh dharbaaxo- wadnaha oo istaaga oo ka baxsan cisbitaalka.

Dietrich Andresen, Hans-Joachim Trappe *
Klinik für Kardiologie, Allgemeine Innere Medizin und konservative Intensivmedizin, Vivantes Klinikum am Urban und im Friedrichshain, Berlin, Germany;
* Medizinische Klinik II (Kardiologie und Angiologie), Ruhr-Universität Bochum, Herne, Germany