老年患者的亚临床心房
Jeff S Healey1, Marco Alings2, Andrew Ha2
1From Population Health Research Institute, Hamilton, ON, Canada (J.S.H., J.W., D.L., H.D., K.S., S.R.M., S.J.C.); McMaster University, Hamilton, ON, Canada (J.S.H., J.W., D.L., H.D., W.F.M., S.R.M., A.S.P., S.J.C.); Amphia Ziekenhuis, Breda, the Netherlands (M.A.); WCN-Dutch Network for Cardiovascular Research (M.A.); University of Toronto, ON, Canada (A.H., A.V.); University of Western Ontario, London, Canada (P.L.-S.); University of Ottawa Heart Institute, ON, Canada (D.H.B.); Nij Smellinghe Hospital, Drachten, the Netherlands (J.J.d.G.); Ikazia Ziekenhuis, Rotterdam, the Netherlands (M.F.); Institut Universitaire de Cardiologie et de Pneumologie de Québec, QC, Canada (F.P.); University of Alberta, Edmonton, Canada (W.B.); University of Calgary, AB, Canada (M.D.H.); St. Jude Medical, Sylmar, CA (M.C.); Slingeland Ziekenhuis, Doetinchem, the Netherlands (F.S.); and Cambridge Cardiac Care Centre, ON, Canada (A.S.P.). Jeff.Healey@phri.ca.
通过持续的心电图监测检测到的亚临床心房动 (SCAF) 在没有心房动史的老年患者中很常见. 需要进一步研究以了解这些SCAF发现的临床意义.
科学领域:
- 心脏病学
- 神经学
- 医疗器械
背景情况:
- 在心脏起器和密码性中风患者中已知亚临床心房动 (SCAF) 的患病率.
- 没有这些疾病的其他患者群体中SCAF的患病率尚不清楚.
研究的目的:
- 在没有心房史的老年患者中调查心血管或神经病诊所的SCAF患病率.
主要方法:
- 在65岁以上的患者中植入皮下心电图监测器 (St. Jude CONFIRM- AF).
- 包括CHA2DS2 - VASc分数≥2,睡眠呼吸暂停,或BMI>30kg/ m2的患者.
- 还需要左心房扩大或NT-proBNP升高;监测SCAF≥5分钟.
主要成果:
- 在16. 3个月的时间里,SCAF在256名患者中的34. 4%中被检测出来.
- SCAF的预测因素包括年龄,左心脏大小和血压.
- 在左心室体积高于中位数的患者中,SCAF检测率较高.
结论:
- 在没有AF史的老年门诊心脏病和神经病诊所中经常检测到SCAF.
- 检测到的SCAF的临床意义尚不清楚.
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