在多变性心肌病症中心房动
Adaya Weissler-Snir1, Sara Saberi2, Timothy C Wong3
1Icahn School of Medicine at Mount Sinai Medical Center, New York, New York, USA.
JACC. Advances
|September 9, 2024
概括
心房动 (AF) 常见于多变性心肌病 (HCM) 中,并增加中风风险. 早期的AF检测和管理,包括抗凝血和节律控制,对于HCM患者的更好的结果至关重要.
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:
- 心房动 (AF) 影响超过25%的患有多变性心肌病 (HCM) 的患者.
- 在HCM中,AF意味着晚期疾病,具有较高的中风风险,甚至在亚临床情况下也会导致耐受性较差的血液动力学变化.
研究的目的:
- 要强调急需及时诊断和有效管理HCM患者的AF的关键需要.
- 在HCM的背景下概述AF的查策略和治疗考虑.
主要方法:
- 在所有HCM患者中定期查AF.
- 增加对高危人群的查频率,并扩大对高风险人群的门诊监测.
- 在AF检测后启动口服抗凝药.
主要成果:
- 在HCM中AF与包括中风在内的显著不良结果有关.
- 管理包括解决可修改的风险因素和监测心肌病进展.
- 早期节律控制可以防止进一步的左心房重塑.
结论:
- 及时的AF诊断和管理在HCM中至关重要,以减轻不良事件.
- 综合性查和及时干预,包括抗凝药和潜在的节律控制,是关键.
- 解决风险因素和监测疾病进展是患者护理的重要组成部分.
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