The most common type of embolic stroke in Taiwan is the arrhythmia of “atrial fibrillation”. Chen Kewei, a physician at the Department of Internal Medicine of the Affiliated Hospital of China Medical University, pointed out that once atrial fibrillation occurs, the atrium loses its systolic function, and blood tends to stagnate in the atrium, gradually forming clots A blood clot (thrombus) that travels with the bloodstream away from the heart to the brain or other organs can block a blood vessel and cause a dangerous ischemic infarction in the area.
After the operation, Uncle Chen’s heart function returned to rhythm, he no longer needed to take high doses of anticoagulants, his cycling endurance was enhanced, and he no longer worried regarding accidental bleeding. (Reporter Huang Yuyan/Photography)The 70-year-old old man Chen likes outdoor sports and cycling. Six years ago, he felt that his heart would suddenly be pounding vigorously. After seeing a doctor, he was found to be suffering from atrial fibrillation. After being evaluated by the stroke risk index, he began to take anticoagulant drugs for a long time. However, a car crash last year caused a pelvic fracture. The doctor assessed that there was a risk of bleeding. – 20x stroke rate.
According to Dr. Chen’s suggestion, Uncle Chen accepts a full range of precise treatment for atrial fibrillation, that is, “atrial fibrillation electrical burn” and “left atrial appendage closure surgery” are performed simultaneously in the same operation. The operation is combined with the artificial intelligence surgical navigation system, so that the operation can More precise. After surgery, Uncle Chen’s heart function returned to rhythm, he no longer needed to take high doses of anticoagulants, his cycling endurance was enhanced, and he no longer worried regarding accidental bleeding.
According to domestic research, there are more than 250,000 people with atrial fibrillation in Taiwan, and the prevalence rate is regarding 1%. A certain proportion of young and middle-aged patients suffer from atrial fibrillation. In addition, people with a history of stroke, heart failure, high blood pressure, or left atrial hypertrophy are more likely to develop atrial fibrillation.
Dr. Chen Kewei suggested that patients who often have heart palpitations, whose heartbeat cannot be measured correctly with a sphygmomanometer, or who are known to have arrhythmia should go to the cardiology clinic for examination as soon as possible. If the possibility of atrial fibrillation is found, it is recommended to undergo heart rate monitoring, esophageal ultrasound and other further examinations; and discuss with the doctor such as long-term anticoagulant drug use, and “left atrial appendage closure surgery” plus atrial fibrillation electric fever and other options to find out The treatment method that suits you best.