[中国心房颤动流行病学调查]

[An epidemiological survey of atrial fibrillation in China].

作者信息

Zhou Zi-qiang, Hu Da-yi, Chen Jie, Zhang Ren-han, Li Kui-bao, Zhao Xiu-li

机构信息

Bejing Cardiology Department of People's Hospital, Peking University, Beijing 100044, China.

出版信息

Zhonghua Nei Ke Za Zhi. 2004 Jul;43(7):491-4.

PMID:15312400

Abstract

OBJECTIVE

To know the current prevalence of atrial fibrillation (AF) in China and contribute to further Chinese studies on AF in future.

METHODS

We chose 14 natural populations from 14 different provinces across China. Using international standardized methods, we performed an epidemical study which was mainly on AF.

RESULTS

The crude rate of prevalence of AF in China is 0.77%, which would be 0.61% after being standardized. Also, it is increasing with aging. The prevalence is higher in men than in women (0.9% vs 0.7%, P = 0.013). Among all the AF cases, valvular, nonvalvular, and lone AF were 12.9%, 65.2%, and 21.9% respectively. Ischemic stroke was the most frequent type seen among AF cases and the stroke rate among cases with AF was significantly higher than that without (12.1% vs 2.1%, P < 0.01).

CONCLUSIONS

The prevalence of AF in China, whether classified by age, gender or cause, is similar to the results from other countries, especially North America and Europe. The incidence of stroke among AF cases is rather high in China. However, patients with AF would not like to take the necessary medicine. Therefore it is advisable to enforce the control of AF. We will continue to do the follow-up in these populations.

摘要

目的

了解中国目前房颤（AF）的患病率，为未来中国进一步开展房颤研究提供依据。

方法

我们选取了中国14个不同省份的14个自然人群。采用国际标准化方法，主要针对房颤进行了一项流行病学研究。

结果

中国房颤的粗患病率为0.77%，标准化后为0.61%。而且，患病率随年龄增长而增加。男性患病率高于女性（0.9%对0.7%，P = 0.013）。在所有房颤病例中，瓣膜性、非瓣膜性和孤立性房颤分别占12.9%、65.2%和21.9%。缺血性卒中是房颤病例中最常见的类型，房颤患者的卒中发生率显著高于非房颤患者（12.1%对2.1%，P < 0.01）。