摘要
心房颤动(atrial fibrillation,AF)作为最常见的心律失常之一,虽然AF以老年人多见,但越来越多证据显示在青年人群中非瓣膜性房颤(NVAF)的发病率不断提高。更好地认识青年人NVAF危险因素,有助于改善患者临床预后和生活质量。本文综合国内、外相关研究,总结青年NVAF发生、发展的不可控因素(种族、性别、年龄等)和可控因素(吸烟、嗜酒、肥胖、能量饮料摄入、高负荷运动、阻塞性睡眠呼吸暂停综合征、肥厚性心肌病、先天性心脏病、外伤性颅内出血等),并着重对各个可控危险因素的流行病学和发病机制上进行探讨,以更好地指导青年NVAFⅠ级和Ⅱ级预防。
Atrial fibrillation （AF） is one of the most common arrhythmias. A better understanding of the risk factors of non-valvular AF is helpful to improve clinical prognosis, as well as life quality of patients. Non-valvular AF occurs in the young and older populations. Modifiable non-valvular AF risk factors, including race, gender and age, and unmodifiable AF risk factors, including smoking, alcohol abuse, intake of energy drinks, obesity, intense exercise, obstructive sleep apnea syndrome （OSAS） , hyper- trophic cardiomyopathy （HCM）, congenital heart disease （CHD） and traumatic intracranial hemorrhage （TICH） for young people are summarized in this review. For a better primary and secondary prevention for non-valvular AF focused in the young, this article focuses on analysis of epidemiology and pathogenesis of all controllable factors.
作者
张增辉
郭军
ZHANG Zeng-hui;GUO Jun(Department of Cardiology,First Affiliated Hospital,Jinan University,Guangzhou 510630,Guangdong,China)
出处
《心脏杂志》
CAS
2018年第5期600-603,共4页
Chinese Heart Journal
关键词
青年
非瓣膜性房颤
危险因素
youth
non-valvular fibrillation
risk factors
