Metabolic syndrome in patients with atrial fibrillation in the absence of structural heart disease from a tertiary hospital in China
Metabolic syndrome in patients with atrial fibrillation in the absence of structural heart disease from a tertiary hospital in China
复制标题
国内某三甲医院无结构性心脏病的房颤患者代谢综合征分析
DOI：
10.3760/cma.j.issn.0366-6999.2009.22.013
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发表时间：
2009-11-20
影响因子：
6.1
通讯作者：
Ma Chang-sheng
中科院分区：
文献类型：
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作者：
Tang Ri-bo;Gao Ling-yun;Ma Chang-sheng
背景：代谢综合征（MetS）和心房颤动（AF）是有因果关系的。本研究旨在确定中国某三级医院无结构性心脏病的房颤患者中MetS的发生率。方法回顾性分析单中心741例房颤患者在导管消融前无结构性心脏病。其中588例（79.4%）患者发生阵发性房颤和持续性/永久性房颤进行亚组分析。结果343例（46.3%）患者发现MetS（男性200例，女性143例）；分别在59例（8.0%）、140例（18.9%）、199例（26.9%）、203例（27.4%）、103例（13.9%）和37例（5.0%）患者中发现了0、1、2、3、4、5个MetS组分。超重/肥胖、高血压、高血糖、高甘油三酯和低高密度脂蛋白胆固醇的患病率分别为53.8%、47.6%、23.2%、40.6%和72.1%。阵发性房颤组与持续性/永久性房颤组的met患病率无显著差异（44.6% vs 52.9%， P=0.064）。除超重/肥胖外，met的5个组成部分(69.3% vs 49.8%， P
Background Metabolic syndrome (MetS) and atrial fibrillation (AF) are causally related. This study aimed to determine the prevalence of MetS in patients with AF in the absence of structural heart disease from a tertiary hospital in China.Methods In a single center, 741 inpatients with AF in the absence of structural heart disease prior to catheter ablation were retrospectively reviewed. Among them, 588 (79.4%) patients had paroxysmal AF Subgroup analyses were performed in paroxysmal AF and persistent/permanent AFResults MetS was found in 343 (46.3%) patients (200 males, 143 females); 0, 1, 2, 3, 4, 5 components of the MetS were found in 59 (8.0%), 140 (18.9%), 199 (26.9%), 203 (27.4%), 103 (13.9%) and 37 (5.0%) patients, respectively. The prevalences of overweight/obesity, high blood pressure, high glucose level, high triglyceride level and low high density lipoproteins cholesterol level were 53.8%, 47.6%, 23.2%, 40.6% and 72.1%, respectively. The prevalence of MetS was not significantly different between the paroxysmal AF group and the persistent/permanent AF group (44.6% vs 52.9%, P=0.064). The five components of MetS except overweight/obesity (69.3% vs 49.8%, P