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Stroke：心血管合并症与卒中后房颤的关系竟如此密切！

2017-09-05 MedSci MedSci原创

心血管合并症卒中房颤
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目前，缺血性卒中后新诊断的心房颤动（AF）是否反映潜在的心脏病，并且能否代表心脏栓塞性中风的风险增加还是由于神经源性机制引发的，目前仍然不确定。近期，一项发表在杂志Stroke上的研究旨在确定缺血性卒中后新发AF患者的心血管并发症是否与以前已知的房颤或无房颤患者不同。此项法国纵向队列研究是基于2009年至2012年的医院护理数据库。最终，入组了336291例缺血性卒中患者中，其中240459例（7

目前，缺血性卒中后新诊断的心房颤动（AF）是否反映潜在的心脏病，并且能否代表心脏栓塞性中风的风险增加还是由于神经源性机制引发的，目前仍然不确定。


近期，一项发表在杂志Stroke上的研究旨在确定缺血性卒中后新发AF患者的心血管并发症是否与以前已知的房颤或无房颤患者不同。

此项法国纵向队列研究是基于2009年至2012年的医院护理数据库。

最终，入组了336291例缺血性卒中患者中，其中240459例（71.5％）无AF，95832例（28.5％）此前有AF。没有先前AF患者的平均CHA2DS2-VASc评分为4.98±1.63 SD。在7.9±11.5个月的平均随访期间里，这些患者中有14095例（5.9％）患有AF，其中缺血性卒中后每年发生AF的发生率为8.9 / 100人年（95％置信区间，8.8-9.0 ）。新发AF患者的CHA2DS2-VASc评分较高，更有可能出现合并症，而且以往的短暂性脑缺血发作的病史比此前已知的AF或无AF患者更为频繁。

此项研究表明：此前的心血管并发症是中风后新诊断AF的基础。因此，应密切监测这些高风险患者的事件性房颤，以便早期诊断房颤，使用适当的血栓预防措施避免中风的发生。

原始出处：
Bisson A, Clementy N, et al. Relationship of Preexisting Cardiovascular Comorbidities to Newly Diagnosed Atrial Fibrillation After Ischemic Stroke. Stroke. 2017 Sep 1. pii: STROKEAHA.117.018251. doi: 10.1161/STROKEAHA.117.018251.

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    2017-10-16 waiwai3039

    #卒中后#

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1671312, encodeId=4ebe16e13126b, content=<a href='/topic/show?id=9f4e360191a' target=_blank style='color:#2F92EE;'>#卒中后#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=36019, encryptionId=9f4e360191a, topicName=卒中后)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ff7426824786, createdName=waiwai3039, createdTime=Mon Oct 16 00:27:00 CST 2017, time=2017-10-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1825837, encodeId=0480182583e1c, content=<a href='/topic/show?id=c52d388137b' target=_blank style='color:#2F92EE;'>#合并症#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=38813, encryptionId=c52d388137b, topicName=合并症)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=796422, createdName=lvliquan, createdTime=Mon Jul 30 20:27:00 CST 2018, time=2018-07-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243835, encodeId=ae6624383529, content=学习了谢谢分享!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Thu Sep 14 08:09:28 CST 2017, time=2017-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=241018, encodeId=3b7f2410189a, content=好文.值得点赞!认真学习了.把经验应用于实践.为患者解除病痛., beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30251637888, createdName=lietome15, createdTime=Wed Sep 06 11:19:25 CST 2017, time=2017-09-06, status=1, ipAttribution=)]
    2018-07-30 lvliquan

    #合并症#

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1671312, encodeId=4ebe16e13126b, content=<a href='/topic/show?id=9f4e360191a' target=_blank style='color:#2F92EE;'>#卒中后#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=36019, encryptionId=9f4e360191a, topicName=卒中后)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ff7426824786, createdName=waiwai3039, createdTime=Mon Oct 16 00:27:00 CST 2017, time=2017-10-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1825837, encodeId=0480182583e1c, content=<a href='/topic/show?id=c52d388137b' target=_blank style='color:#2F92EE;'>#合并症#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=38813, encryptionId=c52d388137b, topicName=合并症)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=796422, createdName=lvliquan, createdTime=Mon Jul 30 20:27:00 CST 2018, time=2018-07-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243835, encodeId=ae6624383529, content=学习了谢谢分享!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Thu Sep 14 08:09:28 CST 2017, time=2017-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=241018, encodeId=3b7f2410189a, content=好文.值得点赞!认真学习了.把经验应用于实践.为患者解除病痛., beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30251637888, createdName=lietome15, createdTime=Wed Sep 06 11:19:25 CST 2017, time=2017-09-06, status=1, ipAttribution=)]
    2017-09-14 大爰

    学习了谢谢分享!!

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1671312, encodeId=4ebe16e13126b, content=<a href='/topic/show?id=9f4e360191a' target=_blank style='color:#2F92EE;'>#卒中后#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=36019, encryptionId=9f4e360191a, topicName=卒中后)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ff7426824786, createdName=waiwai3039, createdTime=Mon Oct 16 00:27:00 CST 2017, time=2017-10-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1825837, encodeId=0480182583e1c, content=<a href='/topic/show?id=c52d388137b' target=_blank style='color:#2F92EE;'>#合并症#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=38813, encryptionId=c52d388137b, topicName=合并症)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=796422, createdName=lvliquan, createdTime=Mon Jul 30 20:27:00 CST 2018, time=2018-07-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243835, encodeId=ae6624383529, content=学习了谢谢分享!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Thu Sep 14 08:09:28 CST 2017, time=2017-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=241018, encodeId=3b7f2410189a, content=好文.值得点赞!认真学习了.把经验应用于实践.为患者解除病痛., beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30251637888, createdName=lietome15, createdTime=Wed Sep 06 11:19:25 CST 2017, time=2017-09-06, status=1, ipAttribution=)]
    2017-09-06 lietome15

    好文.值得点赞!认真学习了.把经验应用于实践.为患者解除病痛.

    0

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