是否存在无症状的心房动?
Herman A Carneiro1, Bradley Knight1
1Department of Medicine, Division of Cardiology, Northwestern University, Chicago, Illinois, USA.
Journal of cardiovascular electrophysiology
|October 23, 2023
概括
人们对心房动 (AF) 的认识并不能涵盖所有风险. 一个新的指标AF负担,可能更好地反映AF对患者的影响,即使他们不知道自己的情况.
科学领域:
- 心脏病学 心脏病学
- 电力生理学 电力生理学
背景情况:
- 目前的心房 (AF) 分类依赖于患者报告的症状,可能低估了未知个体的风险.
- 这种主观的方法忽略了严重的不良事件,如中风,心力衰竭和与AF相关的认知衰退.
研究的目的:
- 检查AF对患者的影响,这些患者不知道他们的病情.
- 评估AF负担作为AF管理中的临床终点的有用性.
- 探索对AF负载指标的潜在改进.
主要方法:
- 审查有关AF分类和终点的当前文献和临床试验数据.
- 在研究中分析AF负担的概念和应用.
- 基于2023年ECAS大会上的演讲进行的讨论.
主要成果:
- 患者的意识是AF严重程度和相关风险的不充分衡量标准.
- AF负担正在成为比症状报告或复发时间更全面的终点.
- 在AF负担,症状和临床结果之间的相关性需要进一步调查.
结论:
- 在症状之外重新考虑AF分类对于有效的患者管理至关重要.
- AF负担为评估AF的临床意义提供了一个有希望的,客观的指标.
- 需要对AF负担指标进行改进,以提高其临床适用性.
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