BMJ:房颤患者死亡风险变化趋势研究

2020-08-19 MedSci原创 MedSci原创

近50年来,房颤患者的全因死亡风险未见显著变化,尽管近年来房颤患者在确诊后平均寿命损失程度得到改善,但与健康人群相比仍有2年的差距

近日研究人员评估新诊断的心房颤动患者死亡风险随时间的变化趋势。
 
 
 
本次研究为基于社区的队列研究,在美国马萨诸塞州弗雷明翰地区,分3次收集1972-85年,1986-2000年和2001-15年房颤患者数据。
 
第1阶段包含5671名参与者,第2阶段包含6177名参与者,第3阶段包含6174名参与者。与无房颤人群相比,房颤患者的全因死亡率的校正危险为:第1阶段1.9,第2阶段1.4,第3阶段1.7。房颤诊断后10年,患者生存期与非房颤患者的差异减少了31%,第1阶段差异为2.9年,第二阶段减少至2.1年,第3阶段进一步减少至2.0年。
 
近50年来,房颤患者的全因死亡风险未见显著变化,尽管近年来房颤患者在确诊后平均寿命损失程度得到改善,但与健康人群相比仍有2年的差距。
 
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    2020-12-20 gaoxiaoe
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    2020-08-19 心介

    房颤,临床上碰到很多哦

    0

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    2020-08-19 骚波哥哥

    医师节快乐

    0

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一项基于中国心血管疾病医疗质量改善-房颤项目(CCC-AF项目)的最新研究发现,对于房颤患者来说,既往甲减病史可能是一个保护因素,而甲亢病史则是住院期间发生不良心血管事件的独立危险因素。

Ann Noninvasive Electrocardiol:继发性房颤更危险!中国注册研究

心房颤动是最常见的心律失常,在老年人中尤其常见。任何容易导致左房扩大的情况都会导致房颤的发生,如心力衰竭、高血压、瓣膜病、糖尿病、心肌病、肥胖或甲状腺疾病等。

Cardiovasc Res :中国房颤患病率居世界前列!PURE研究新分析

近日发表的一项基于PURE研究全球20个国家的最新分析表明,在全球不同地区,年龄和性别标化的房颤患病率可相差12倍。研究发现,北美、欧洲、中国、东南亚最高(270-360例/10万).

JACC:有脂肪肝的房颤患者,消融后房颤复发风险高!

学者在JACC临床电生理学子刊上发表研究称,合并脂肪肝的房颤患者消融后房颤复发风险升高。该研究中,56%的脂肪肝患者出现房颤复发,而没有脂肪肝的患者只有31%。

JAHA:心率变异性指数可预测房颤患者的心血管死亡率

AF患者单次5分钟ECG记录中测得的HRV指数是心血管疾病死亡率的独立预测指标。AF患者的HRV分析可能是进一步进行风险分层以指导患者治疗较有价值的工具。

Eur Heart J: 优化房颤治疗有4个环节!欧洲心脏杂志多项研究评述

我国35岁以上房颤患者超出487万例,中国心房颤动医疗质量控制报告显示,房颤治疗还有很大提升空间。