Low pulse and high heart rate, i.e. short pulse, is mainly considered as atrial fibrillation, and the main treatment is anticoagulation, reversal and maintenance of sinus rhythm, and control of ventricular rate.
1. Anticoagulation: patients with atrial fibrillation are prone to embolism, so it is necessary to score the patients and consider whether to carry out anticoagulation therapy according to the scoring results.
2. Reset and maintain sinus rhythm: Reset includes drug reset, electrical reset and catheter ablation, and the reset method should be chosen according to the patient’s condition.
3. Control of ventricular rate: β-blocker metoprolol, calcium channel antagonist nifedipine or digoxin can be used, and attention should be paid to the contraindications to the use of drugs.
It is also necessary to identify with frequent ventricular premature beats and other arrhythmias, and it is necessary to improve the electrocardiogram to clarify the type of arrhythmia, and the drugs should be rationally applied in accordance with the doctor’s instructions.