PREVALENCE AND SIGNIFICANCE OF ATRIAL-FIBRILLATION IN CORONARY-ARTERY DISEASE (CASS REGISTRY)
PREVALENCE AND SIGNIFICANCE OF ATRIAL-FIBRILLATION IN CORONARY-ARTERY DISEASE (CASS REGISTRY)
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DOI：
10.1016/0002-9149(88)91053-3
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发表时间：
1988-04-01
影响因子：
2.8
通讯作者：
KOSINSKI, AS
中科院分区：
文献类型：
--
作者：
CAMERON, A;SCHWARTZ, MJ;KOSINSKI, AS
冠状动脉疾病患者中房颤（AF）患病率的估计值从“频繁”到<2%不等。对冠状动脉外科研究（卡斯）登记研究中18，343例经血管造影证实的CAD患者的数据进行了审查，发现116例（0.6%）患者存在AF。房颤的存在与以下临床和血管造影变量呈正相关：年龄较大、性别（男性）、二尖瓣返流和充血性心力衰竭引起的功能损害。冠状动脉病变的数量与房颤的存在呈负相关。房颤是生存的独立预测因子，其存在使无房颤患者的估计风险增加一倍。
Estimates of the prevalence of atrial fibrillation (AF) in patients with coronary artery disease have varied from "frequent" to < 2%. Data on 18,343 patients with angiographically demonstrated CAD in the Coronary Artery Surgery Study (CASS) registry were reviewed and AF was found to be present in 116 (0.6%) patients. The presence of AF was positively associated with the following clinical and angiograpic variables: older age, sex (male), mitral regurgitation and functional impairment due to congestive heart failure. The number of diseased coronary arteries was negatively related to the presence of AF. Atrial fibrillation was and independent predictor of survival and its presence doubled the estimated risk over those patients without AF.