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在患有先天性心脏病的成年人中,心房失常
Judith Bouchardy1, Judith Therrien, Louise Pilote
1McGill Adult Unit for Congenital Heart Disease Excellence, McGill University Health Center and the Jewish General Hospital, Montreal, Quebec, Canada.
Circulation
|October 14, 2009
概括
心房失常症在患有先天性心脏病的成年人中很常见,随着年龄的增长而增加. 这些心律失常显著增加了这种不断增长的患者群体中不良事件,死亡率和发病率的风险.
科学领域:
- 心脏病学 心脏病学
- 成年人的先天性心脏病
- 电子生理学 电子生理学
背景情况:
- 大心律失常在一般成年人群中构成重大健康负担.
- 患有先天性心脏病 (ACHD) 的成年人代表着日益增长的人口,心血管疾病的增加.
- 这项研究调查了心房失常症患者心房失常症的患病率和影响.
研究的目的:
- 为了确定先天性心脏病的成年人中心房律乱的患病率和终身风险.
- 评估心房失常症与心房失常症患者的健康结果 (包括死亡率和发病率) 之间的关联.
- 预测未来心房失常症在 ACHD 群体中的负担.
主要方法:
- 使用1983年至2005年的数据进行了基于人口的分析.
- 在患有先天性心脏病的成年人中,分析了与心脏不律症相关的患病率,终身风险,死亡率和发病率.
- 统计分析包括危险比率,以比较患有心房律乱和没有心房律乱的患者的不良事件.
主要成果:
- 2005年,在38428名患有先天性心脏病的成年人中,有15%患有心房律乱.
- 患心房律不整的20年风险从20岁时的7%增加到50岁时的38%.
- 大心律失常与不良事件风险增加2.5倍,死亡率增加47%,患病率风险增加一倍 (中风/心力衰竭),心脏干预风险增加三倍有关.
结论:
- 大心律失常会影响15%的患有先天性心脏病的成年人,并且随着年龄的增长而增加.
- 这些心律失常与ACHD患者出现不良事件的风险增加了一倍.
- 预计医疗保健资源分配的增加是必要的,以管理这种不断增长的负担.
相关概念视频
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Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism, and...
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