Department of Cardiology, UMCG, Groningen, The Netherlands.
Department of Cardiology, UMCG, Groningen, The Netherlands
Open Heart. 2024 Mar 19;11(1):e002641. doi: 10.1136/openhrt-2024-002641.
There is an escalating trend in both the incidence and prevalence of atrial fibrillation (AF). AF is linked to numerous other comorbidities, contributing to the emergence of multimorbidity. The sustained rise in multimorbidity and AF prevalences exerts a significant strain on healthcare systems globally. The understanding of the relation between multimorbidity and AF is essential to determine effective healthcare strategies, improve patient outcomes to adequately address the burden of AF. It not only begins with the accurate identification of comorbidities in the setting of AF. There is also the need to understand the pathophysiology of the different comorbidities and their common interactions, and how multimorbidity influences AF perpetuation. To manage the challenges that rise from the increasing incidence and prevalence of both multimorbidity and AF, such as adverse events and hospitalisations, the treatment of comorbidities in AF has already gained importance and will need to be a primary focus in the forthcoming years. There are numerous challenges to overcome in the treatment of multimorbidity in AF, whereby the identification of comorbidities is essential. Integrated care strategies focused on a comprehensive multimorbidity management with an individual-centred approach need to be determined to improve healthcare strategies and reduce the AF-related risk of frailty, cardiovascular diseases and improve patient outcomes.
心房颤动（AF）的发病率和患病率呈上升趋势。AF 与许多其他合并症有关，导致多种合并症的出现。多种合并症和 AF 患病率的持续上升给全球的医疗保健系统带来了巨大压力。了解多种合并症与 AF 之间的关系对于确定有效的医疗保健策略、改善患者预后以充分应对 AF 负担至关重要。它不仅需要在 AF 背景下准确识别合并症。还需要了解不同合并症的病理生理学及其常见相互作用，以及多种合并症如何影响 AF 的持续存在。为了应对多种合并症和 AF 发病率和患病率上升带来的挑战，如不良事件和住院治疗，AF 中合并症的治疗已经变得重要，并且需要成为未来几年的主要关注点。在治疗 AF 中的多种合并症时存在许多挑战，其中识别合并症至关重要。需要确定以个体化为中心的综合多合并症管理为重点的综合护理策略，以改善医疗保健策略，降低 AF 相关的虚弱、心血管疾病风险，并改善患者预后。
