患有心房动的住院患者静止心率升高与心血管风险增加有关
Kangning Han1, Xia Li2, Biao Fu1
1Department of Cardiology, Beijing Anzhen Hospital Affiliated to Capital Medical University, Beijing, China, anzhen.org.
Cardiovascular therapeutics
|January 29, 2026
概括
休息心率 (RHR) 超过80bpm与住院心房动 (AF) 患者的死亡和心力衰竭风险增加有关. 导管切除可以降低这些风险.
科学领域:
- 心脏病学 心脏病学
- 临床研究 临床研究
- 在心房的管理管理.
背景情况:
- 有效的频率控制对于管理心房动 (AF) 至关重要.
- 静止心率 (RHR) 与住院AF患者的不良结果之间的关联需要进一步澄清.
研究的目的:
- 为了研究RHR和住院不良结果之间的关系,在患者住院治疗AF.
主要方法:
- "改善中国心血管疾病的护理"项目 (2014-2019) 数据的回顾性分析.
- 包括来自236个中心的12775名住院AF患者.
- 使用后勤回归模型来评估RHR与初级 (全因死亡率,急性心力衰竭) 和二次 (中风/TIA,出血) 结局之间的关联.
主要成果:
- 在超过80bpm的RHR和初级复合结果的风险增加之间发现了显著的关联 (调整后OR:1.79 [95%CI:1.44-2.22]).
- 较高的RHR (≥80bpm) 与不良结果正相关.
- 先进的AF类型在RHR范围内的风险增加,而导管切除与抗失常药物不同,与风险降低有关.
结论:
- 升高的RHR (超过80bpm) 与AF患者的不良住院结果显著相关.
- 导管切除可能是减轻这一群体风险的有益策略.
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