动脉样硬化和心房动在患有心房动症的患者心房动进展之间的关联:来自RACE V研究的数据
Dawid K Baron1, Vanessa Weberndorfer2, Harry J G M Crijns2
1Department of Cardiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
American heart journal
|February 5, 2026
概括
动脉样硬化与动性心房动 (PAF) 进展到持久形式有关. 这种血管疾病可能直接导致PAF患者的心房重塑和持续性心律失常.
科学领域:
- 心脏病学 心脏病学
- 血管医学 血管医学
- 节律失常学 节律失常学
背景情况:
- 前庭动 (AF) 从阳性动 (PAF) 到持久形式的进展情况尚不清楚.
- 研究动脉样硬化在AF进展中的作用对于理解潜在机制至关重要.
研究的目的:
- 评估PAF患者动脉样硬化和AF进展之间的关联.
- 为了确定血管疾病是否有助于心房重塑和心律失常的持续性.
主要方法:
- RACE V试验的子研究涉及612名PAF患者.
- 在基线进行广泛的表型鉴定和持续的节律监测.
- 研究了动脉样硬化 (通过成像/血管疾病史定义) 和AF在平均3.4年的进展之间的关联.
主要成果:
- 65%的患者在基线时患有动脉样硬化.
- 动脉样硬化与AF进展的增加有关 (21%对12%,p=0.004).
- 动脉样硬化在调整已确定的风险因素后仍然是AF进展的决定因素 (OR:2.23;95% CI:1.10-4.89;p=0.034).
结论:
- 动脉样硬化在PAF患者中很普遍.
- 血管疾病是AF进展的重要决定因素.
- 研究结果表明动脉样硬化可能直接导致心房重塑和持续性AF.
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