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Updated: Feb 12, 2026

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日本心房患者的一年结果:来自APHRS-AF注册表的见解
Kenji Yodogawa1, Yu-Ki Iwasaki1, Yasuo Okumura2
1Department of Cardiovascular Medicine Nippon Medical School Tokyo Japan.
Journal of arrhythmia
|February 11, 2026
概括
在APHRS-AF注册表中,患有心房的日本患者显示高水平的口服抗凝剂使用. 一年的结果显示,死亡率和中风发病率较低,这表明有效的管理策略.
科学领域:
- 心脏病学 心脏病学
- 流行病学 流行病学
- 临床研究 临床研究
背景情况:
- 亚太心律协会心房动 (APHRS-AF) 登记处前性地收集亚洲各城市心房动 (AF) 患者的数据.
- 本报告侧重于注册表中的日本患者,详细介绍了他们的基线特征,治疗模式和一年的临床结果.
研究的目的:
- 分析被诊断患有心房动 (AF) 的日本患者的基线特征,治疗策略和一年临床结果.
- 为了评估口服抗凝剂和导管切除在管理AF在这个队列中的有效性.
主要方法:
- 研究人员分析了2015年至2017年期间从28个中心招募的794名日本肌肉功能关患者的数据.
- 评估了743名患者的一年随访结果,重点关注死亡率,中风和出血事件.
- 记录了基线特征,包括并发症和风险评分 (CHADS2,CHA2DS2-VASc,HAS-BLED).
主要成果:
- 队列 (平均年龄65.7岁,69.0%男性) 患有高血压,脂质疾病,心力衰竭和糖尿病的高率.
- 在基线,81%的患者使用了口服抗凝剂 (7%VKA,74%DOAC).
- 一年终结结果显示,全因死亡率 (0.1%) 和中风/血栓栓事件 (0.1%) 的发病率较低,0.7%的患者有严重出血.
结论:
- 在APHRS-AF注册表中,日本患者使用口服抗凝剂的比例很高.
- 一年后的随访表明,在这个人群中,死亡率低,中风/血栓塞栓事件的发病率低.
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