Kalra Sanjay, Kishor Kamal, Khandelwal Deepak
Department of Endocrinology, Bharti Hospital, Karnal, India.
Department of Cardiology, Rama Hospital, Karnal.
J Pak Med Assoc. 2019 Nov;69(11):1746-1749.
Atrial fibrillation (AF) is the most commonly encountered arrhythmia in cardiology practice. A diagnosis of AF implies a greater need for hospitalization, a higher risk of stroke and heart failure, and earlier mortality. These complications can be avoided if AF is diagnosed and treated in a timely manner. To achieve this, physicians need to maintain a high index of clinical suspicion, practice cardiovigilance, and screen for AF in appropriate clinical settings. This review describes the vast spectrum of endocrine and metabolic disease that are associated with AF. Through this perspective, it encourages physicians and endocrinologists to play an active role in AF detection, referral and long term management.
心房颤动（AF）是心脏病学实践中最常见的心律失常。AF的诊断意味着更高的住院需求、更高的中风和心力衰竭风险以及更早的死亡率。如果AF能得到及时诊断和治疗，这些并发症是可以避免的。为实现这一点，医生需要保持高度的临床怀疑指数，践行心血管监测，并在适当的临床环境中筛查AF。本综述描述了与AF相关的广泛的内分泌和代谢疾病。从这个角度出发，它鼓励医生和内分泌学家在AF的检测、转诊和长期管理中发挥积极作用。
