我们的网站为什么显示成这样?

可能因为您的浏览器不支持样式,您可以更新您的浏览器到最新版本,以获取对此功能的支持,访问下面的网站,获取关于浏览器的信息:

|本期目录/Table of Contents|

青年非瓣膜性房颤患者危险因素分析研究进展

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2018年第5期
页码:
600-603
栏目:
综述
出版日期:
2018-06-25

文章信息/Info

Title:
Research progress in analysis of risk factors in young patients with non-valvular atrial fibrillation
作者:
张增辉郭 军
(暨南大学附属第一医院心血管内科,广东 广州 510630)
Author(s):
ZHANG Zeng-hui GUO Jun
(Department of Cardiology, First Affiliated Hospital, Jinan University, Guangzhou 510630, Guangdong, China)
关键词:
青年非瓣膜性房颤危险因素
Keywords:
youth non-valvular fibrillation risk factors
分类号:
R541.7
DOI:
-
文献标识码:
A
摘要:
心房颤动(atrial fibrillation,AF)作为最常见的心律失常之一,虽然AF以老年人多见,但越来越多证据显示在青年人群中非瓣膜性房颤(NVAF)的发病率不断提高。更好地认识青年人NVAF危险因素,有助于改善患者临床预后和生活质量。本文综合国内、外相关研究,总结青年NVAF发生、发展的不可控因素(种族、性别、年龄等)和可控因素(吸烟、嗜酒、肥胖、能量饮料摄入、高负荷运动、阻塞性睡眠呼吸暂停综合征、肥厚性心肌病、先天性心脏病、外伤性颅内出血等),并着重对各个可控危险因素的流行病学和发病机制上进行探讨,以更好地指导青年NVAF Ⅰ级和Ⅱ级预防。
Abstract:
Atrial fibrillation (AF) is one of the most common arrhythmias. A better understanding of the risk factors of non-valvular AF is helpful to improve clinical prognosis, as well as life quality of patients. Non-valvular AF occurs in the young and older populations. Modifiable non-valvular AF risk factors, including race, gender and age, and unmodifiable AF risk factors, including smoking, alcohol abuse, intake of energy drinks, obesity, intense exercise, obstructive sleep apnea syndrome (OSAS), hypertrophic cardiomyopathy (HCM), congenital heart disease (CHD) and traumatic intracranial hemorrhage (TICH) for young people are summarized in this review. For a better primary and secondary prevention for non-valvular AF focused in the young, this article focuses on analysis of epidemiology and pathogenesis of all controllable factors.

参考文献/References

[1]陈灏珠,林果为,王吉耀,等.《实用内科学》[M].第14版.北京:人民卫生出版社,2013:1836-1837.

[2]Kirchhof P,Benussi S,Kotecha D,et al.2016 ESC Guidelines for the management to atrial fibrillation developed in collaboration with EACTS[J].Europace,2016,18(11):1609-1678.

[3]Staerk L.Atrial Fibrillation Epidemiology,Pathophysiology, and Clinical Outcomes[J].Circ Res,2017,120(9):1501-1517.

[4]章 蓉,曹 乾,路 云.中国城乡居民吸烟行为及其影响因素分析[J].南京医科大学学报,2014,34(1):84-89.

[5]Ahmad MI,Mosley CD,O'Neal WT.Smoking and risk of atrial fibrillation in the Reasons for Geographic and racial differences in stroke(REGARDS)study[J].J Cardiol,2018,71(2):113-117.

[6]Suzuki S,Otsuka T.Association between smoking and the first-time appearance of atrial fibrillation in Japanese patients:evidence from the Shinken Database[J].J Cardiol,2015,66(1):73-79.

[7]Sidhu K.Modifiable Risk Factors in Atrial Fibrillation:The Role of Alcohol,Obesity,and Sleep Apnea[J].Can J Cardiol,2017,33(7):947-949.

[8]Whitman IR,Nah G.Alcohol Abuse and Cardiac Disease[J].J Am Coll Cardiol,2017,69(1):13-24.

[9]Mohanty P,Mohanty M,Tamaki M,et al.Differential association of exercise intensity with risk of atrial fibrillation in men and women:evidence from a meta-anal- ysis[J].J Cardiovasc Electrophysiol,2016,27(9):1021-1029.

[10]Sanchis-Gomar F,Perez-Quilis C,Lippi G,et al.Atrial fibrillation in highly trained endurance athletes - Description of a syndrome[J].Int J Cardiol,2017,226:11-20.

[11]Abarca-Gómez L,Abdeen ZA,Hamid ZA,et al.Worldwide trends in body-mass index,underweight, overweight,and obesity from 1975 to 2016:a pooled analysis of 2416 population-based measurement studies in 128·9 million children,adolescents,and adults[J].Lancet,2017,390(10113):2627-2642.

[12]Karasoy D,Bo Jensen T,Hansen ML,et al.Obesity is a risk factor for atrial fibrillation among fertile young women: a nationwide cohort study[J].Europace,2013,15(6):781-786.

[13]Kang SH,Choi EK,Han KD,et al.Underweight is a risk factor for atrial fibrillation:A nationwide population-based study[J].Int J Cardiol,2016,215:449-456.

[14]Mattioli AV,Pennella S,Farinetti A,et al.Energy Drinks and atrial fibrillation in young adults[J].Clin Nutr,2018,37(3):1073-1074.

[15]Lin GM,Colangelo LA,Lloyd-Jones DM,et al.Association of sleep apnea and snoring with incident atrial fibrillation in the Multi-Ethnic Study of Atherosclerosis[J].Am J Epidemiol,2015,182(1):49-57.

[16]Goudis CA,Ketikoglou DG.Obstructive sleep and atrial fibrillation:pathophysiological mechanisms and therapeutic implications[J].Int J Cardiol,2017,230:293-300.

[17]Labombarda F,Hamilton R,Shohoudi A.Increasing Prevalence of Atrial Fibrillation and Permanent Atrial Arrhythmias in Congenital Heart Disease[J].J Am Coll Cardiol,2017,70(7):857-865.

[18]Karunanithi Z,Nyboe C,Hjortdal VE,et al.Long-Term Risk of Atrial Fibrillation and Stroke in Patients With Atrial Septal Defect Diagnosed in Childhood[J].Am J Cardiol,2017,119(3):461-465.

[19]Rowin EJ,Orfanos A,Estes NAM,et al.Occurrence and Natural History of Clinically Silent Episodes of Atrial Fibrillation in Hypertrophic Cardiomyopathy[J].Am J Cardiol,2017,119(11):1862-1865.

[20]van Velzen HG,Theuns DA,Yap SC,et al.Incidence of device-detected atrial fibrillation and long-term outcomes in patients with hypertrophic cardiomyopathy[J].Am J Cardiol,2017,119(1):100-105.

[21]Wu X,Cui H,Wang JJ,et al.Atrial fibrillation in patients with obstructive hypertrophic cardiomyopathy:clinical characteristics and risk factors[J].Zhonghua Nei Ke Za Zh,2017,56(3):184-187.

[22]Debonnaire P,Joyce E,Hiemstra Y,et al.Left Atrial Size and Function in Hypertrophic Cardiomyopathy Patients and Risk of New-Onset Atrial Fibrillation[J].Circ Arrhythm Electrophysiol,2017,10(2).doi:10.1161/CIRCEP.116.004052.

[23]Lin WS,Lin TC,Hung Y,et al.Traumatic intracranial haemorrhage is in association with an increased risk of subsequent atrial fibrillation[J].Heart,2017,103(16):1286-1291.

备注/Memo

备注/Memo:
收稿日期:2017-10-20.通讯作者:郭军,副主任医师,主要从事心血管病学的基础和临床研究 Email:dr.guojun@163.com 作者简介:张增辉,硕士生 Email: Allendate@163.com
更新日期/Last Update: 1900-01-01