{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,31]],"date-time":"2024-07-31T00:33:36Z","timestamp":1722386016710},"reference-count":0,"publisher":"SEMES (Sociedad Espanola de Medicina de Urgencias y Emergencias)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Emergencias"],"abstract":"<jats:p>Objetivo. El mantenimiento del ritmo sinusal (RS) con f\u00e1rmacos antiarr\u00edtmicos (FAA) y\/o tratamiento del remodelado (TRM) es parte fundamental en la estrategia de control del ritmo en la fibrilaci\u00f3n auricular (FA). Este estudio analiza estas estrategias y su adecuaci\u00f3n en los servicios de urgencias hospitalarios (SUH). M\u00e9todo. An\u00e1lisis secundario del estudio multic\u00e9ntrico observacional transversal HERMES-AF, desarrollado en 124 SUH representativos del sistema sanitario espa\u00f1ol en 2011. Se incluyeron pacientes consecutivos con FA que revirtieron a RS y fueron dados de alta desde urgencias. Resultados. Se incluyeron 449 pacientes: 204 (45,4%) ya realizaban tratamiento para mantenimiento del RS. De los 245 restantes se prescribi\u00f3 tratamiento en el SUH a 107 (43,7%): 41 con FAA, 19 TRM y en 47 ambas terapias. En 10 casos (11,8%) la selecci\u00f3n del FAA no era acorde a las recomendaciones de las gu\u00edas. La prescripci\u00f3n de FAA se asoci\u00f3 a FA previa [odds ratio (OR) 2,024, IC 95%: 1,196-3,424, p = 0,009], frecuencia cardiaca &gt; 110 lpm (OR 2,147, IC 95%: 1,034-4,456, p = 0,040) y anticoagulaci\u00f3n al alta (OR 1,862, IC 95%: 1,094-3,170, p = 0,022). El TRM se asoci\u00f3 a frecuencia cardiaca &gt; 110 lpm (OR 2,187, IC 95%: 1,005-4,757, p = 0,018). En total, al alta del SUH 311 pacientes (69,2%) recib\u00edan tratamiento para mantenimiento del RS (87 con FAA, 117 con TRM y 107 con ambas terapias). Conclusiones. La prescripci\u00f3n de tratamiento para evitar las recurrencias de la FA es insuficiente en los SUH. Extender esta prescripci\u00f3n y mejorar la adecuaci\u00f3n del tratamiento antiarr\u00edtmico son \u00e1reas de mejora de la estrategia de control del ritmo en los SUH.<\/jats:p>","DOI":"10.55633\/s3me\/e085.2022","type":"journal-article","created":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T13:02:09Z","timestamp":1722344529000},"source":"Crossref","is-referenced-by-count":0,"title":["Emergency department prescription of sinus rhythm maintenance therapy for patients treated for atrial fibrillation: a secondary analysis of the HERMES-AF study"],"prefix":"10.55633","author":[{"given":"Amparo","family":"Fern\u00e1ndez-Sim\u00f3n","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alfonso","family":"Mart\u00edn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Coral","family":"Suero","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan","family":"S\u00e1nchez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mercedes","family":"Varona","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susana","family":"S\u00e1nchez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel","family":"Cancio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9","family":"Carbajosa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan","family":"Tamargo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carmen","family":"del Arco","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco Javier","family":"Medrano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Blanca","family":"Coll-Vinent","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"33356","published-online":{"date-parts":[[2024,7,30]]},"container-title":["Emergencias"],"original-title":["An\u00e1lisis del tratamiento para mantener el ritmo sinusal en pacientes con fibrilaci\u00f3n auricular prescrito en los servicios de urgencias: suban\u00e1lisis del estudio HERMES-AF"],"deposited":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T13:02:09Z","timestamp":1722344529000},"score":1,"resource":{"primary":{"URL":"https:\/\/revistaemergencias.org\/numeros-anteriores\/volumen-34\/numero-2\/analisis-del-tratamiento-para-mantener-el-ritmo-sinusal-en-pacientes-con-fibrilacion-auricular-prescrito-en-los-servicios-de-urgencias-subanalisis-del-estudio-hermes-af\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,30]]},"references-count":0,"URL":"https:\/\/doi.org\/10.55633\/s3me\/e085.2022","relation":{},"ISSN":["1137-6821","2386-5857"],"issn-type":[{"value":"1137-6821","type":"print"},{"value":"2386-5857","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,30]]}}}