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心房颤动:老年人中的一种流行病。

Atrial fibrillation: an epidemic in the elderly.

作者信息

Riley Anne B, Manning Warren J

机构信息

Beth Israel Deaconess Medical Center, Department of Cardiology, Boston, MA, USA.

出版信息

Expert Rev Cardiovasc Ther. 2011 Aug;9(8):1081-90. doi: 10.1586/erc.11.107.

DOI:10.1586/erc.11.107
PMID:21878052
Abstract

Atrial fibrillation is the most common cardiac arrhythmia that increases in prevalence with age. As the general population grows older, general practitioners will more frequently see this disease in their clinic population. In order to most effectively treat these patients, physicians need to understand key issues, including the use of rhythm control versus ventricular rate control and how to reduce the risk of ischemic stroke. This article will review recent advancements in the understanding of the pathophysiology, management, stroke risk stratification and prevention of thromboembolic complications in atrial fibrillation.

摘要

心房颤动是最常见的心律失常,其患病率随年龄增长而增加。随着普通人群老龄化,全科医生在其门诊患者中会更频繁地见到这种疾病。为了最有效地治疗这些患者,医生需要了解关键问题,包括节律控制与心室率控制的使用以及如何降低缺血性卒中的风险。本文将综述心房颤动在病理生理学、管理、卒中风险分层及血栓栓塞并发症预防等方面认识的最新进展。

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1
Atrial fibrillation: an epidemic in the elderly.心房颤动:老年人中的一种流行病。
Expert Rev Cardiovasc Ther. 2011 Aug;9(8):1081-90. doi: 10.1586/erc.11.107.
2
Atrial fibrillation. Rhythm versus rate control.心房颤动。节律控制与心率控制。
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Stroke prevention in elderly patients with atrial fibrillation.老年房颤患者的卒中预防
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Preventing stroke in people with atrial fibrillation: a cross-sectional study.预防心房颤动患者的中风:一项横断面研究。
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The assessment of stroke and bleeding risk in atrial fibrillation: where are we now?心房颤动中卒中与出血风险的评估:我们目前处于什么阶段?
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Atrial fibrillation in elderly patients with heart failure: convergence of two cardiovascular epidemics in the 21st Century.老年心力衰竭患者的心房颤动:21世纪两种心血管流行病的交汇。
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引用本文的文献

1
Biomarkers for predicting atrial fibrillation: An explorative sub-analysis of the randomised SCREEN-AF trial.预测心房颤动的生物标志物:随机 SCREEN-AF 试验的探索性亚分析。
Eur J Gen Pract. 2024 Dec;30(1):2327367. doi: 10.1080/13814788.2024.2327367. Epub 2024 Mar 18.
2
Tachycardia-bradycardia syndrome in a patient with atrial fibrillation: a case report.一名心房颤动患者的心动过速-心动过缓综合征:病例报告
Korean J Anesthesiol. 2015 Aug;68(4):415-9. doi: 10.4097/kjae.2015.68.4.415. Epub 2015 Jul 28.
3
Preferences for oral anticoagulants in atrial fibrillation: a best-best discrete choice experiment.
心房颤动患者口服抗凝剂的偏好:最佳-最佳离散选择实验
Pharmacoeconomics. 2014 Nov;32(11):1115-27. doi: 10.1007/s40273-014-0188-0.
4
Atrial fibrillation and microRNAs.心房颤动与微小核糖核酸
Front Physiol. 2014 Jan 24;5:15. doi: 10.3389/fphys.2014.00015. eCollection 2014.
5
Heart dysfunction in patients with acute ischemic stroke or TIA does not predict all-cause mortality at long-term follow-up.急性缺血性脑卒中或 TIA 患者的心功能障碍不能预测长期随访时的全因死亡率。
BMC Neurol. 2013 Sep 23;13:122. doi: 10.1186/1471-2377-13-122.
6
Warfarin slows deterioration of renal function in elderly patients with chronic kidney disease and atrial fibrillation.华法林可减缓老年慢性肾脏病合并心房颤动患者肾功能恶化。
Clin Interv Aging. 2013;8:523-9. doi: 10.2147/CIA.S44242. Epub 2013 May 10.
7
Managing atrial fibrillation in the elderly: critical appraisal of dronedarone.老年人心房颤动的管理:决奈达隆的关键性评价。
Clin Interv Aging. 2012;7:1-13. doi: 10.2147/CIA.S16677. Epub 2011 Dec 30.