针对未经治疗的心房动进行大规模查:STROKESTOP研究
Emma Svennberg1, Johan Engdahl2, Faris Al-Khalili2
1From Karolinska Institutet, Department of Clinical Sciences, Cardiology Unit, Danderyd's University Hospital, Stockholm, Sweden (E.S., F.A.-K., L.F., V.F., M.R.); Department of Medicine, Halland's Hospital, Halmstad, Sweden (J.E.); and Stockholm Heart Center, Sweden (F.A.-K.). emma.svennberg@ds.se.
Circulation
|April 26, 2015
概括
在75岁的75岁人群中查心房动 (AF),发现5.1%的个体未经治疗的AF. 在新诊断的AF患者中,口服抗凝剂 (OAC) 治疗的启动非常成功,可以预防中风.
科学领域:
- 老年医学 老年医学
- 心脏病学 心脏病学
- 公共卫生查 公共卫生查
背景情况:
- 心房动 (AF) 是一种常见的心律失常,增加了中风风险.
- 早期发现和治疗AF对于预防中风至关重要.
- 对老年人群进行AF的查可以识别未被诊断的病例.
研究的目的:
- 通过系统查来确定75至76岁人群中未经治疗的心房 (AF) 的患病率.
- 评估在新诊断的AF患者中开始口服抗凝剂 (OAC) 治疗的可行性.
主要方法:
- 在瑞典两个地区对75岁至76岁的人进行系统查.
- 在没有先前AF诊断的参与者中,在两周内进行间歇性心电图记录.
- 在AF检测时提供OAC治疗.
主要成果:
- 邀请了12331人,其中7173人 (53.8%) 参与.
- 在3.0%的参与者中检测到以前未知的AF;总AF患病率为12.3%.
- 在接受查的人群中,未经治疗的AF发现在5.1%的人群中,OAC发现在3.7%的人群中.
结论:
- 大规模查有效地识别出75至76岁人口中大量未经治疗的AF患者.
- 在新诊断的AF患者中,开始OAC治疗中风预防非常成功.
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