Kokubo Yoshihiro, Matsumoto Chisa
Department of Preventive Cardiology, National Cerebral and Cardiovascular Center.
Circ J. 2016 Nov 25;80(12):2415-2422. doi: 10.1253/circj.CJ-16-0919. Epub 2016 Oct 29.
To prevent atrial fibrillation (AF), it is essential to reduce its risk factors and extend healthy life expectancy as a result. There are few reviews on the AF risk factors. We discuss them and approach the prevention of AF. We briefly review traditional risk factors for incident AF, especially focusing on high blood pressure, overweight/obesity, dyslipidemia, diabetes, tobacco smoking, and excessive drinking. When trying to prevent AF by modifying lifestyle, it is important to comprehensively utilize the risk factors for AF to predict the 10-year as an AF risk score. However, there are only 2 risk scores of AF just for the US population. There are few studies of the AF risk factors in non-Western populations. A risk score for incident AF in non-Westerners is awaited because different race and lifestyles may have different contributions as AF risk factors. An AF risk score in accordance with race could be useful for identifying persons with a high risk of AF in order to encourage them to consult a doctor and encourage lifestyle modifications before the onset of AF. (Circ J 2016; 80: 2415-2422).
为预防心房颤动（AF），降低其风险因素并延长健康预期寿命至关重要。关于AF风险因素的综述较少。我们对这些因素进行讨论并探讨AF的预防方法。我们简要回顾新发AF的传统风险因素，尤其关注高血压、超重/肥胖、血脂异常、糖尿病、吸烟和过度饮酒。在试图通过改变生活方式预防AF时，全面利用AF的风险因素来预测10年AF风险评分很重要。然而，仅针对美国人群有2种AF风险评分。针对非西方人群的AF风险因素研究较少。由于不同种族和生活方式作为AF风险因素的贡献可能不同，因此期待非西方人群新发AF的风险评分。符合种族的AF风险评分可能有助于识别AF高风险人群，从而鼓励他们在AF发作前咨询医生并鼓励改变生活方式。（《循环杂志》2016年；80：2415 - 2422）
