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心房颤动导管消融患者的心理社会风险因素及预后

Psychosocial risk factors and outcomes in patients undergoing catheter ablation for atrial fibrillation.

作者信息

Agarwal Siddharth, Munir Muhammad Bilal, Chaudhary Amna Mohyud Din, Krishan Satyam, DeSimone Christopher V, Deshmukh Abhishek, Stavrakis Stavros, Po Sunny, Al-Kindi Sadeer, Asad Zain Ul Abideen

机构信息

Department of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.

Division of Cardiovascular Medicine, University of California Davis, Sacramento, California, USA.

出版信息

Pacing Clin Electrophysiol. 2023 Oct;46(10):1242-1245. doi: 10.1111/pace.14817. Epub 2023 Sep 11.

Abstract

The association of psychosocial risk factors with cardiovascular disease is well-established, and there is a growing recognition of their influence on atrial fibrillation (AF) . A recent National Heart, Lung, and Blood Institute workshop called for transforming AF research to integrate social determinants of health. There is limited data examining the impact of psychosocial risk factors (PSRFs) on outcomes in patients with an established diagnosis of AF. Catheter ablation for AF has been shown to improve arrhythmia burden and quality of life compared with medical treatment alone. It is unknown how PSRFs affect clinical outcomes in patients undergoing AF ablation. It is important to understand this relationship, especially given the increasing adoption of catheter ablation in clinical practice.

摘要

社会心理风险因素与心血管疾病之间的关联已得到充分证实,并且人们越来越认识到它们对心房颤动(AF)的影响。美国国立心肺血液研究所最近举办的一次研讨会呼吁转变房颤研究,以纳入健康的社会决定因素。关于社会心理风险因素(PSRFs)对已确诊房颤患者预后影响的数据有限。与单纯药物治疗相比,房颤导管消融已被证明可改善心律失常负担和生活质量。目前尚不清楚PSRFs如何影响接受房颤消融患者的临床结局。了解这种关系很重要,特别是考虑到导管消融在临床实践中的应用日益增加。

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