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无症状性心房颤动患者的意义及管理策略

Significance and Management Strategies for Patients with Asymptomatic Atrial Fibrillation.

作者信息

Majos Ewa, Dabrowski Rafal

机构信息

Institute of Cardiology, Warsaw, Poland.

出版信息

J Atr Fibrillation. 2015 Feb 28;7(5):1169. doi: 10.4022/jafib.1169. eCollection 2015 Feb-Mar.

DOI:10.4022/jafib.1169
PMID:27957147
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5135215/
Abstract

Atrial fibrillation (AF) is a common and refractory arrhythmia. Prevalence of AF increases with age. Asymptomatic AF is a state of asymptomatic episodes of arrhythmia and its exact prevalence remains unknown. Ablation and therapy with antiarrhythmic agents may predispose to asymptomatic AF. Detection of silent AF is crucial for prevention of ischaemic stroke. Progress in continuous ECG monitoring by Holter ECG, telemetry methods or implantable devices can provide a useful tools for identifying silent AF. Simple screening procedures like pulse examination and ambulatory ECG may be helpful in arrhythmia detection and logically - ischemic stroke prevention.

摘要

心房颤动(AF)是一种常见且难治的心律失常。AF的患病率随年龄增长而增加。无症状性AF是一种心律失常无症状发作的状态,其确切患病率尚不清楚。消融和使用抗心律失常药物治疗可能会引发无症状性AF。检测隐匿性AF对于预防缺血性卒中至关重要。通过动态心电图、遥测方法或植入式设备进行连续心电图监测的进展可为识别隐匿性AF提供有用工具。诸如脉搏检查和动态心电图等简单的筛查程序可能有助于心律失常的检测以及从逻辑上预防缺血性卒中。

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Significance and Management Strategies for Patients with Asymptomatic Atrial Fibrillation.无症状性心房颤动患者的意义及管理策略
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[Assessment of atrial fibrillation ablation outcome: from symptoms to continuous monitoring with an implantable loop recorder].[心房颤动消融结果评估:从症状到使用植入式环路记录仪进行连续监测]
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Improved screening for silent atrial fibrillation after ischaemic stroke.缺血性脑卒中后无症状性心房颤动的筛查改善。
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Feasibility of extended ambulatory electrocardiogram monitoring to identify silent atrial fibrillation in high-risk patients: the Screening Study for Undiagnosed Atrial Fibrillation (STUDY-AF).延长动态心电图监测以识别高危患者无症状性房颤的可行性:未确诊房颤筛查研究(STUDY-AF)
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Impact of Neuroimaging Patterns for the Detection of Atrial Fibrillation by Implantable Loop Recorders in Patients With Embolic Stroke of Undetermined Source.神经影像学模式对植入式循环记录仪检测不明来源栓塞性卒中患者心房颤动的影响
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Cureus. 2021 Dec 12;13(12):e20362. doi: 10.7759/cureus.20362. eCollection 2021 Dec.
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Continuous 4-week ECG monitoring with adhesive electrodes reveals AF in patients with recent embolic stroke of undetermined source.使用粘性电极进行连续4周的心电图监测可发现近期不明来源栓塞性卒中患者存在房颤。
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本文引用的文献

1
Prospective national study of the prevalence, incidence, management and outcome of a large contemporary cohort of patients with incident non-valvular atrial fibrillation.对大量当代新发非瓣膜性心房颤动患者队列的患病率、发病率、管理及结局进行的前瞻性全国性研究。
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Effects of sinus rhythm maintenance on left heart function after electrical cardioversion of atrial fibrillation: implications for tachycardia-induced cardiomyopathy.维持窦性心律对电复律治疗心房颤动后左心功能的影响:与心动过速性心肌病的关系。
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Temporal relationship between subclinical atrial fibrillation and embolic events.无症状性心房颤动与栓塞事件之间的时间关系。
Circulation. 2014 May 27;129(21):2094-9. doi: 10.1161/CIRCULATIONAHA.113.007825. Epub 2014 Mar 14.
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Tachycardia mediated cardiomyopathy: pathophysiology, mechanisms, clinical features and management.心动过速性心肌病:病理生理学、机制、临床特征和治疗。
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Gone fishing (for silent atrial fibrillation).
Circulation. 2013 Feb 26;127(8):870-2. doi: 10.1161/CIRCULATIONAHA.112.000985.
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Stepwise screening of atrial fibrillation in a 75-year-old population: implications for stroke prevention.对 75 岁人群进行心房颤动的逐步筛查:对卒中预防的影响。
Circulation. 2013 Feb 26;127(8):930-7. doi: 10.1161/CIRCULATIONAHA.112.126656. Epub 2013 Jan 23.
8
All-cause mortality in 272,186 patients hospitalized with incident atrial fibrillation 1995-2008: a Swedish nationwide long-term case-control study.1995-2008 年瑞典全国范围内的一项长期病例对照研究:272186 例新发心房颤动住院患者的全因死亡率。
Eur Heart J. 2013 Apr;34(14):1061-7. doi: 10.1093/eurheartj/ehs469. Epub 2013 Jan 14.
9
Discerning the incidence of symptomatic and asymptomatic episodes of atrial fibrillation before and after catheter ablation (DISCERN AF): a prospective, multicenter study.在导管消融前后辨别有症状和无症状的心房颤动发作(DISCERN AF):一项前瞻性、多中心研究。
JAMA Intern Med. 2013 Jan 28;173(2):149-56. doi: 10.1001/jamainternmed.2013.1561.
10
Prevalence of unknown atrial fibrillation in patients with risk factors.具有危险因素的患者中心房颤动的不明患病率。
Europace. 2013 May;15(5):657-62. doi: 10.1093/europace/eus366. Epub 2012 Dec 20.