心房动:并发症,生活方式和患者因素
Eduard Shantsila1,2,3, Eue-Keun Choi4, Deirdre A Lane2,5,6
1Department of Primary Care and Mental Health, University of Liverpool, United Kingdom.
The Lancet regional health. Europe
|February 16, 2024
概括
前庭动 (AF) 的管理正在转向解决除了抗凝药之外的剩余风险和更广泛的患者因素. 综合性风险因素评估,包括生活方式和并发症,对于个性化AF护理至关重要.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 抗凝药可显著降低心房 (AF) 中的中风风险,但不能消除残留的血栓栓塞风险.
- AF对生活质量产生负面影响,并与认知障碍,心力衰竭和中风有关.
- 目前的AF管理正在发展,以纳入对风险因素的整体理解.
研究的目的:
- 审查最近在了解事故AF风险因素方面的进展.
- 讨论管理这些不同风险因素的当代策略.
- 倡导一个个性化的AF管理方法.
主要方法:
- 关于AF风险因素识别和管理的最新进展的文献综述.
- 综合有关生活方式,体质,心理和社会经济风险因素的数据.
- 在患有并发症和多药症的患者中管理AF的挑战分析.
主要成果:
- 确定了广泛的风险因素,有助于AF发展和并发症的风险因素.
- 强调需要解决尽管服用抗凝血药物,但仍存在残留的血栓栓塞风险.
- 强调了多病症,多药和AF护理中的人口变化的日益重要.
结论:
- AF管理需要向个性化护理的范式转变.
- 对患者特定的健康和社会经济因素进行全面评估是必不可少的.
- 解决老龄化人口和患有多种健康状况的人群的复杂需求对于减少AF相关的健康负担至关重要.
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