The atrial fibrillation paradox -connecting hypertension to atrial disease and stroke.

The atrial fibrillation paradox -connecting hypertension to atrial disease and stroke.
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DOI:
10.1016/j.ajpc.2021.100284
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发表时间:
2021-12
影响因子:
4.1
通讯作者:
Ferdinand K
Ferdinand K
中科院分区:
其他
文献类型:
--
作者:
Mendys P;Jackson LR 2nd;Solimon EZ;Howard G;Ferdinand K

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在传统心血管(CV)危险因素、房颤(AF)的发病率和患病率以及缺血性卒中发病率增加之间的相关性方面,存在种族差异的理解中存在“双重悖论”。简单地说,黑人有更多的心血管风险因素,但较少AF。尽管AF的发病率较低,黑人有较高的中风和全身性栓塞率。这一重要的公共卫生挑战值得注意,因为尽管自20世纪50年代以来总体卒中死亡率显著下降,但到2008年,黑人经年龄调整的卒中死亡率仍高于白色人。[2]本综述的目的是检查黑人缺血性卒中的风险,并提供一个选项的总结,以提高对个体风险的认识和加强预防护理。考虑以下概念:
A “double paradox” exists in the understanding of racial differences in the association between traditional cardiovascular (CV) risk factors, the incidence and prevalence atrial fibrillation (AF), and the increased incidence of ischemic stroke. Simply stated, Black persons have an increased number of CV risk factors yet less AF. Despite lower incidence of AF, Black individuals have higher rates of stroke and systemic embolism. This important public health challenge is notable, given that, despite a significant decline in overall stroke mortality rates since the 1950s, age-adjusted stroke death rates have remained higher in Black versus White individuals through 2008.[2]The purpose of this review is to examine the risk of ischemic stroke in Black persons and provide a summary of options to improve the recognition of individual risk and reinforce preventive care. Consider the following concepts:
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