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心房颤动与心肌梗死并存——不良组合。

Co-existence of Atrial Fibrillation with Myocardial Infarction - Unhealthy Combination.

作者信息

Wojcik Maciej

机构信息

Department of Cardiology, Medical University of Lublin, Lublin, Poland.

出版信息

J Atr Fibrillation. 2012 Dec 16;5(4):666. doi: 10.4022/jafib.666. eCollection 2012 Dec.

Abstract

Atrial fibrillation (AF) is the most common arrhythmia with increasing prevalence and incidence. As our population ages, modern treatment options and decreased case-fatality of cardiovascular diseases are likely to increase the number of patients at risk for AF. AF is a frequent co-existing complication ofmyocardial infarction (MI). The onset of AF in the setting of AMI requires immediate intervention which should be individualized for each patient. AF associated with MI influences the in-hospital, medium- and long-term mortality. This brief review, based on 41 reports published between 1970 and 2011, focuses on incidence and mortality in patients with AF in MI setting. Possible mechanisms of AF in MI and treatment options are also discussed.

摘要

心房颤动(AF)是最常见的心律失常,其患病率和发病率不断上升。随着我国人口老龄化,现代治疗手段以及心血管疾病病死率的降低可能会使心房颤动高危患者数量增加。心房颤动是心肌梗死(MI)常见的并存并发症。急性心肌梗死(AMI)时发生心房颤动需要立即干预,且应对每位患者进行个体化治疗。与心肌梗死相关的心房颤动会影响住院期间、中期和长期死亡率。本简要综述基于1970年至2011年间发表的41份报告,重点关注心肌梗死患者中心房颤动的发病率和死亡率。还讨论了心肌梗死时心房颤动的可能机制及治疗选择。

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