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风湿性心脏瓣膜病患者心房颤动的患病率及预测因素

Prevalence and predictors of atrial fibrillation in rheumatic valvular heart disease.

作者信息

Diker E, Aydogdu S, Ozdemir M, Kural T, Polat K, Cehreli S, Erdogan A, Göksel S

机构信息

Türkiye Yüksek Ihtisas Hastanesi, Ankara, Turkey.

出版信息

Am J Cardiol. 1996 Jan 1;77(1):96-8. doi: 10.1016/s0002-9149(97)89145-x.

DOI:10.1016/s0002-9149(97)89145-x
PMID:8540469
Abstract

The highest frequency of AF in RHD occurs in those with mitral stenosis, mitral regurgitation, and tricuspid regurgitation in combination. AF, while occurring in 29% of patients with isolated mitral stenosis and in 16% with isolated mitral regurgitation, is an infrequent finding (1%) in patients with aortic valvular disease. Left atrial diameter by univariate analysis, and age and left atrial diameter by multivariate analysis have been shown to be the most important parameters to determine the occurrence of AF in patients with RHD.

摘要

风湿性心脏病(RHD)中房颤(AF)的最高发生率出现在合并二尖瓣狭窄、二尖瓣反流和三尖瓣反流的患者中。房颤在孤立性二尖瓣狭窄患者中的发生率为29%,在孤立性二尖瓣反流患者中的发生率为16%,而在主动脉瓣疾病患者中则很少见(1%)。单因素分析显示左心房直径,多因素分析显示年龄和左心房直径是决定风湿性心脏病患者发生房颤的最重要参数。

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