Andrade Jason G, Jackson Larry R, Diaz Juan Carlos, Chung Mina, Hurwitz Jody, Morillo Carlos A, Lip Gregory Y H, Lopez-Cabanillas Nestor
Center for Cardiovascular Innovation, Vancouver General Hospital, Vancouver, Canada.
Montreal Heart Institute, Université de Montréal, Montreal, Canada.
Lancet Reg Health Am. 2025 May 6;47:101110. doi: 10.1016/j.lana.2025.101110. eCollection 2025 Jul.
Atrial Fibrillation is the most common sustained cardiac arrhythmia, and is associated with significant impairments in quality of life. Regional variations and challenges in the management of atrial fibrillation are present throughout the Americas. Atrial fibrillation incidence and prevalence varies widely, with significant regional differences in the consequences of atrial fibrillation (disability adjusted life years, and mortality). While the contemporary goals are similar, the management of atrial fibrillation is highly variable across the Americas, driven by regional differences in access to medical services, diagnostics, treatments and technologies, as well as country-specific differences in health-care expenditures. Healthcare policies to address these within and between country barriers will lead to improved care and a reduction in the economic burden of atrial fibrillation. Failure to remediate health inequities will exacerbate the burden of healthcare resources attributed toward the management of this disease.
心房颤动是最常见的持续性心律失常，与生活质量的显著下降相关。整个美洲地区在心房颤动管理方面存在区域差异和挑战。心房颤动的发病率和患病率差异很大，在心房颤动的后果（伤残调整生命年和死亡率）方面存在显著的区域差异。虽然当代目标相似，但由于医疗服务可及性、诊断、治疗和技术方面的区域差异以及各国在医疗保健支出方面的差异，美洲地区心房颤动的管理差异很大。解决这些国内和国家间障碍的医疗保健政策将改善护理并减轻心房颤动的经济负担。未能纠正健康不平等将加剧用于该疾病管理的医疗资源负担。
