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肥胖与心房颤动:综述

Obesity and Atrial Fibrillation: A Comprehensive Review.

作者信息

Na Jonathan, Garapati Sai Sita, Lador Adi

机构信息

Houston Methodist Hospital, Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas, US.

Division of Cardiac Electrophysiology, Houston Methodist Hospital, Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas, US.

出版信息

Methodist Debakey Cardiovasc J. 2025 Feb 18;21(2):35-43. doi: 10.14797/mdcvj.1516. eCollection 2025.

DOI:10.14797/mdcvj.1516
PMID:39990752
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11843930/
Abstract

Atrial fibrillation (AF) remains the most common arrhythmia worldwide, but its pathophysiology remains complex and multifactorial. As obesity has increased over the past couple of decades, much interest has been generated about its relationship with other diseases. As a result, the interplay between AF and obesity has been rigorously investigated as risk factor modification has become more important for the management of AF. In this review, we discuss the epidemiology of AF and obesity, the pathophysiology connecting these two diseases, and how obesity affects the management of AF.

摘要

心房颤动(AF)仍是全球最常见的心律失常,但其病理生理学仍然复杂且具有多因素性。在过去几十年中,随着肥胖率上升,人们对肥胖与其他疾病的关系产生了浓厚兴趣。因此,由于风险因素调整对房颤管理变得更为重要,房颤与肥胖之间的相互作用已得到深入研究。在本综述中,我们讨论房颤和肥胖的流行病学、连接这两种疾病的病理生理学,以及肥胖如何影响房颤的管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da1d/11843930/ae4e004ab400/mdcvj-21-2-1516-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da1d/11843930/ae4e004ab400/mdcvj-21-2-1516-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da1d/11843930/ae4e004ab400/mdcvj-21-2-1516-g1.jpg

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Adv Ther. 2025 Jan;42(1):72-93. doi: 10.1007/s12325-024-03057-8. Epub 2024 Nov 13.
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Effect of Obesity on the Use of Antiarrhythmics in Adults With Atrial Fibrillation: A Narrative Review.肥胖对心房颤动成人抗心律失常药物使用的影响:叙述性综述。
Clin Cardiol. 2024 Aug;47(8):e24336. doi: 10.1002/clc.24336.
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Representation of obesity in contemporary atrial fibrillation ablation randomized controlled trials.
当代心房颤动消融随机对照试验中肥胖的代表性。
J Cardiovasc Electrophysiol. 2024 Oct;35(10):2006-2016. doi: 10.1111/jce.16396. Epub 2024 Aug 13.
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Exploring Atrial Fibrillation: Understanding the Complex Relation Between Lifestyle and Genetic Factors.探索心房颤动:理解生活方式与遗传因素之间的复杂关系。
J Med Cases. 2024 Aug;15(8):186-194. doi: 10.14740/jmc4250. Epub 2024 Jul 25.
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Atrial cardiomyopathy revisited-evolution of a concept: a clinical consensus statement of the European Heart Rhythm Association (EHRA) of the ESC, the Heart Rhythm Society (HRS), the Asian Pacific Heart Rhythm Society (APHRS), and the Latin American Heart Rhythm Society (LAHRS).心房心肌病再探——概念的演变:欧洲心脏病学会心律协会 (EHRA)、心律学会 (HRS)、亚太心律学会 (APHRS) 和拉丁美洲心律学会 (LAHRS) 的临床共识声明。
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