Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
J Am Coll Cardiol. 2017 Apr 18;69(15):1968-1982. doi: 10.1016/j.jacc.2017.02.020.
Atrial fibrillation (AF) is an increasing burden worldwide. However, AF prevention has not been emphasized enough in clinical practice or guidelines. In this paper, the authors review the associations of modifiable lifestyle factors, including alcohol abuse, smoking, physical inactivity, and unhealthy psychological stress, with the risk for AF development. The authors also review the associations of cardiovascular risk factors that can be better managed, including obesity and overweight, high blood pressure, diabetes, dyslipidemia, obstructive sleep apnea, and other cardiovascular diseases, with the risk for AF. The conclusion is that a high proportion of AF can be prevented by combining strategies, focusing on the high-risk population for better risk factor management, and emphasizing healthy lifestyle choices in the whole population.
心房颤动（AF）是全球日益加重的负担。然而，在临床实践或指南中，AF 的预防并未得到足够重视。在本文中，作者回顾了可改变的生活方式因素（包括酗酒、吸烟、缺乏身体活动和不健康的心理压力）与 AF 发生风险的关系。作者还回顾了可更好管理的心血管危险因素（包括肥胖和超重、高血压、糖尿病、血脂异常、阻塞性睡眠呼吸暂停和其他心血管疾病）与 AF 发生风险的关系。结论是，通过结合策略，重点关注高危人群以更好地进行危险因素管理，并在整个人群中强调健康的生活方式选择，可以预防很大一部分 AF。
