[Natural history and outcomes of atrial fibrillation].
[Natural history and outcomes of atrial fibrillation].
复制标题
[心房颤动的自然史和结果]。
DOI：
--
复制
发表时间：
2013
期刊：
影响因子：
--
通讯作者：
D. Lacroix
中科院分区：
文献类型：
--
作者：
F. Brigadeau;D. Lacroix
心房颤动在大多数情况下没有任何症状。第一次症状发作后可能会有多次无症状发作。房颤的自然史从阵发性到持续性和永久性房颤相对混乱。结果是，抗血栓治疗取决于整体血栓栓塞风险，而不是患者对心律失常或窦性心律表现的感知。不幸的是，第一次出现可能是最可怕的并发症：中风。房颤所致脑卒中发生率高，严重程度高，住院期间及住院后一年死亡率高。房颤期间中风的严重程度可以解释一定程度的认知能力下降。心力衰竭也是心房颤动的常见并发症，因为有共同的病因。通过这两种并发症，心房颤动提高了死亡率。不那么重要的是，虽然导致频繁的住院治疗，但生活质量受损是相对常见的。
Atrial fibrillation occurs most of the time without any symptom. The first symptomatic episode may follow many silent episodes. The natural history of atrial fibrillation is relatively chaotic from paroxysmal to persistent and permanent atrial fibrillation. The consequence is that antithrombotic treatment depends on global thromboembolic risk and not on patient's perception of arrhythmia or sinus rhythm presentation. Unfortunately, the first appearance may be the most feared complication: stroke. Stroke due to atrial fibrillation are frequent, severe, with high mortality rate during hospitalization and during the following year. The severity of stroke during atrial fibrillation could explain a certain degree of cognitive decline. Heart failure is also a frequent atrial fibrillation complication due to sharing of common causes. Through those two complications, atrial fibrillation raises mortality rate. Less importantly, though leading to frequent hospitalizations, quality of life impairment is relatively frequent.