Kalra Sanjay, Kishor Kamal, Batra Aditya, Aggarwal Sameer
Department of Endocrinology, Bharti Hospital, Karnal, India.
Department of Cardiology, Rama Hospital, Karnal.
J Pak Med Assoc. 2019 Mar;69(3):437-439.
Atrial fibrillation (AF), the commonest arrhythmia in clinical practice, is also the commonest arrhythmia for which hospitalization is required. AF is associated with a 5 fold increase in stroke, a 2 fold increase in all-cause mortality, and a higher risk of heart failure. Hence, it is imperative to focus on the risk factors and clinical features of this condition, so that it can be prevented and managed in a timely manner. AF is linked with multiple metabolic and endocrine morbidities. This implies that the endocrinologist has an important role to play in AF detection and referral. This review, the first of a two part series, encourages preventive cardiovigilance, and especially electro-cardiovigilance, in diabetes practice.
心房颤动（AF）是临床实践中最常见的心律失常，也是最常见的需要住院治疗的心律失常。AF与中风风险增加5倍、全因死亡率增加2倍以及心力衰竭风险较高相关。因此，必须关注这种疾病的危险因素和临床特征，以便能够及时预防和管理。AF与多种代谢和内分泌疾病相关。这意味着内分泌科医生在AF的检测和转诊中可发挥重要作用。本综述是一个两部分系列中的第一篇，鼓励在糖尿病诊疗中进行预防性心脏监测，尤其是心电监测。
