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心房颤动与冠状动脉疾病的关系:了解共同的基础。

The relationship between atrial fibrillation and coronary artery disease: Understanding common denominators.

机构信息

Tulane University School of Medicine, New Orleans, LA, USA.

Tulane University School of Medicine, New Orleans, LA, USA.

出版信息

Trends Cardiovasc Med. 2024 Feb;34(2):91-98. doi: 10.1016/j.tcm.2022.09.006. Epub 2022 Sep 29.

Abstract

Atrial fibrillation (AF) and coronary artery disease (CAD) are highly prevalent cardiovascular conditions. The coexistence of both diseases is common as they share similar risk factors and common pathophysiological characteristics. Systemic inflammatory conditions are associated with an increased incidence of both AF and CAD. The presence of both entities increases the incidence of complications and adverse outcomes. Furthermore, their coexistence poses challenges for the management of patients, particularly with respect to anticoagulation and rhythm management. In this review, we aim to better understand the relationship between AF and CAD by detailing basic molecular pathophysiology, assessing therapeutic guidelines, and describing interactions between the two conditions.

摘要

心房颤动(AF)和冠状动脉疾病(CAD)是两种高发的心血管疾病。这两种疾病的共同存在很常见,因为它们具有相似的风险因素和共同的病理生理特征。全身性炎症状态与 AF 和 CAD 的发病率增加有关。这两种疾病的同时存在增加了并发症和不良结局的发生率。此外,它们的共同存在给患者的管理带来了挑战,特别是在抗凝和节律管理方面。在这篇综述中,我们旨在通过详细描述基本的分子病理生理学、评估治疗指南以及描述两种疾病之间的相互作用,更好地理解 AF 和 CAD 之间的关系。

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