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心房颤动筛查的重要性和未来。

The Importance and Future of Population Screening for Atrial Fibrillation.

机构信息

Institute of Cardiovascular Sciences, University of Birmingham, Birmingham, United Kingdom; Cardiovascular and Arrhythmia Center, Chung-Ang University Hospital, Chung-Ang University, Seoul, Republic of Korea.

Institute of Cardiovascular Sciences, University of Birmingham, Birmingham, United Kingdom; Liverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart and Chest Hospital, Liverpool, United Kingdom.

出版信息

Can J Cardiol. 2018 Nov;34(11):1407-1411. doi: 10.1016/j.cjca.2018.08.016. Epub 2018 Aug 17.

DOI:10.1016/j.cjca.2018.08.016
PMID:30404746
Abstract

Atrial fibrillation (AF) is a common and progressive heart rhythm disorder that causes structural, functional, and electrical remodelling of the heart. Although we do not fully understand AF yet, this arrhythmia is one clinical feature of a syndrome that is represented by irregularly irregular atrial rhythm accompanied by progressive atrial structural and functional remodelling. Although ischemic stroke, the most feared complication of AF, can be prevented by anticoagulation, the asymptomatic or paroxysmal nature of AF makes timely diagnosis of AF difficult. Thus, appropriate screening method for AF is necessary. In this review, we will discuss the importance and future perspectives of population screening for AF.

摘要

心房颤动(AF)是一种常见且不断进展的心律失常,可导致心脏结构、功能和电重构。尽管我们尚未完全了解 AF,但这种心律失常是一种综合征的临床特征之一,该综合征的特征是不规律的心房节律伴进行性心房结构和功能重构。尽管抗凝治疗可以预防 AF 最可怕的并发症——缺血性脑卒中,但 AF 的无症状或阵发性性质使得及时诊断 AF 变得困难。因此,需要一种合适的 AF 筛查方法。在这篇综述中,我们将讨论对 AF 进行人群筛查的重要性和未来展望。

相似文献

1
The Importance and Future of Population Screening for Atrial Fibrillation.心房颤动筛查的重要性和未来。
Can J Cardiol. 2018 Nov;34(11):1407-1411. doi: 10.1016/j.cjca.2018.08.016. Epub 2018 Aug 17.
2
Asymptomatic lone atrial fibrillation - how can we detect the arrhythmia?无症状孤立性心房颤动——我们如何检测这种心律失常?
Curr Pharm Des. 2015;21(5):659-66. doi: 10.2174/1381612820666140825142639.
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Treatment of atrial fibrillation.心房颤动的治疗。
Br Med Bull. 2008;88(1):75-94. doi: 10.1093/bmb/ldn046. Epub 2008 Dec 5.
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Biomarkers of Atrial Cardiopathy and Atrial Fibrillation Detection on Mobile Outpatient Continuous Telemetry After Embolic Stroke of Undetermined Source.不明来源栓塞性卒中后移动门诊连续遥测中房性心脏病和房颤检测的生物标志物
J Stroke Cerebrovasc Dis. 2017 Jun;26(6):1249-1253. doi: 10.1016/j.jstrokecerebrovasdis.2017.01.016. Epub 2017 Feb 22.
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Characteristics and outcomes of atrial fibrillation patients with or without specific symptoms: results from the PREFER in AF registry.伴有或不伴有特定症状的房颤患者的特征和结局:来自 PREFER in AF 登记研究的结果。
Eur Heart J Qual Care Clin Outcomes. 2016 Oct 1;2(4):299-305. doi: 10.1093/ehjqcco/qcw031.
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Screening for undiagnosed atrial fibrillation.筛查未确诊的心房颤动。
Expert Rev Cardiovasc Ther. 2018 Aug;16(8):591-598. doi: 10.1080/14779072.2018.1496018. Epub 2018 Jul 16.
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Screening for asymptomatic atrial fibrillation while monitoring the blood pressure at home: trial of regular versus irregular pulse for prevention of stroke (TRIPPS 2.0).在家中监测血压时筛查无症状性心房颤动:常规脉搏与不规则脉搏监测预防卒中的试验(TRIPPS 2.0)。
Am J Cardiol. 2013 Jun 1;111(11):1598-601. doi: 10.1016/j.amjcard.2013.01.331. Epub 2013 Mar 15.
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The heart and brain imaging in lone atrial fibrillation - are we surprised?孤立性心房颤动中的心脏和脑成像——我们感到惊讶吗?
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Echocardiographic measures of atrial function may predict atrial fibrillation in stroke patients.心房功能的超声心动图测量可能预测中风患者的心房颤动。
Scand Cardiovasc J. 2016 Aug;50(4):236-42. doi: 10.1080/14017431.2016.1175657. Epub 2016 May 18.
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Stroke risk assessment in atrial fibrillation: risk factors and markers of atrial myopathy.心房颤动的卒中风险评估:心房心肌病的危险因素和标志物。
Nat Rev Cardiol. 2016 Sep;13(9):549-59. doi: 10.1038/nrcardio.2016.106. Epub 2016 Jul 7.

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Opportunistic screening for atrial fibrillation among frail older patients, little effort for a high diagnostic yield. Outcomes of the Dutch-GERAF study.对体弱老年患者进行房颤机会性筛查,诊断率高但付出努力少。荷兰-GERAF研究的结果
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