Morillo Carlos A, Banerjee Amitava, Perel Pablo, Wood David, Jouven Xavier
Department of Cardiac Sciences, Division of Cardiology, Libin Cardiovascular Institute, University of Calgary, Calgary, AB, Canada.
Population Health Research Institute, Hamilton Health Sciences, McMaster University, Hamilton, ON, Canada.
J Geriatr Cardiol. 2017 Mar;14(3):195-203. doi: 10.11909/j.issn.1671-5411.2017.03.011.
Atrial fibrillation (AF) is the most common arrhythmia diagnosed in clinical practice. The consequences of AF have been clearly established in multiple large observational cohort studies and include increased stroke and systemic embolism rates if no oral anticoagulation is prescribed, with increased morbidity and mortality. With the worldwide aging of the population characterized by a large influx of "baby boomers" with or without risk factors for developing AF, an epidemic is forecasted within the next 10 to 20 years. Although not all studies support this evidence, it is clear that AF is on the rise and a significant amount of health resources are invested in detecting and managing AF. This review focuses on the worldwide burden of AF and reviews global health strategies focused on improving detection, prevention and risk stratification of AF, recently recommended by the World Heart Federation.
心房颤动（AF）是临床实践中诊断出的最常见心律失常。多项大型观察性队列研究已明确证实AF的后果，包括在未开具口服抗凝药的情况下，中风和全身性栓塞发生率增加，发病率和死亡率也随之上升。随着全球人口老龄化，大量“婴儿潮一代”涌入，无论有无发生AF的风险因素，预计未来10至20年内将出现AF流行。尽管并非所有研究都支持这一证据，但AF明显呈上升趋势，并且在检测和管理AF方面投入了大量卫生资源。本综述重点关注全球AF负担，并回顾世界心脏联盟最近推荐的旨在改善AF检测、预防和风险分层的全球卫生战略。
