Qian Yezhou, Fei Zhangli, Nian Feige
Department of Cardiology, The First Hospital of Jiaxing, The Affiliated Hospital of Jiaxing University, Jiaxing, People's Republic of China.
Department of Rheumatology, The First Hospital of Jiaxing, The Affiliated Hospital of Jiaxing University, Jiaxing, People's Republic of China.
Int J Gen Med. 2023 May 18;16:1899-1908. doi: 10.2147/IJGM.S406926. eCollection 2023.
Atrial fibrillation (AF) is the most common cardiac arrhythmia with a significant increase in morbidity and mortality worldwide. Rheumatoid arthritis (RA), as a systemic inflammatory disease, affecting 0.5-1.0% of the adult population, is associated with increased incidence of cardiac arrhythmias such as AF. Several epidemiologic studies find that the risk of AF is increased in RA when compared with the general population. Other studies are inconsistent. Considering that inflammation plays an important role in AF, RA may be involved in the occurrence and development of AF. This review summarizes the epidemiology, pathophysiology, and management of AF in patients with RA.
心房颤动(AF)是最常见的心律失常,在全球范围内其发病率和死亡率显著增加。类风湿关节炎(RA)作为一种全身性炎症性疾病,影响着0.5-1.0%的成年人口,与诸如AF等心律失常的发病率增加相关。多项流行病学研究发现,与普通人群相比,RA患者发生AF的风险增加。其他研究结果并不一致。鉴于炎症在AF中起重要作用,RA可能参与了AF的发生和发展。本综述总结了RA患者AF的流行病学、病理生理学及管理。