Khaykin Yaariv, Shamiss Yana
Heart Rhythm Program, Southlake Regional Health Centre, 105-712 Davis Drive, Newmarket, Ontario, L3Y 8C3, Canada.
Curr Cardiol Rev. 2012 Nov;8(4):368-73. doi: 10.2174/157340312803760730.
Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia. It places an enormous burden on the patients, caregivers and the society at large. As a chronic illness, AF accrues significant costs related to clinical presentation, complications and loss of productivity. Novel invasive approaches to AF promise a cure in some patients and a significant reduction in AF burden in others, but are very expensive. This paper will address the cost of conventional and invasive strategies in AF care and will review the evidence on the comparative cost effectiveness of these approaches.
心房颤动(AF)是最常见的持续性心律失常。它给患者、护理人员以及整个社会带来了巨大负担。作为一种慢性病,AF在临床表现、并发症和生产力损失方面产生了巨大成本。新型房颤侵入性治疗方法有望治愈部分患者,并显著减轻其他患者的房颤负担,但费用非常昂贵。本文将探讨房颤治疗中传统策略和侵入性策略的成本,并回顾这些方法比较成本效益的证据。