摘要
心房高频事件(atrial high-rate episodes,AHRE)是指通过心脏植入式电子装置(cardiac implantable electronic device,CIED)检测到的无症状的快速房性心律失常,在无心房颤动诊断的老年患者中检测到AHRE的比例为10%~30%。AHRE与卒中、血栓栓塞等严重并发症的风险增加有关。目前对于AHRE的临床意义及是否需长期抗凝等问题尚未完全明确。本文综述了AHRE的流行病学特征、危险因素和预测因子,并介绍了AHRE的处理方法。
Atrial high-rate episodes(AHRE)refer to asymptomatic atrial tachyarrhythmia detected by cardiac implantable electronic devices(CIED),which is detected in 10%-30%of elderly patients who without atrial fibrillation.AHRE are associated with an increased risk of serious complications,such as stroke and thromboembolism.Presently,the clinical significance of AHRE and the necessity of long-term anticoagulant therapy are not fully established.This article provides an overview of the epidemiological characteristics,risk factors and predictive factors of AHRE,as well as the management methods for AHRE.
作者
姚建晗
王竸婧
黄新苗
曹江
YAO Jian-han;WANG Jing-jing;HUANG Xin-miao;CAO Jiang(Department of Cardiovasology,Changhai Hospital,Naval Medical University,Shanghai 200433,China)
出处
《中国心血管病研究》
CAS
2023年第10期865-871,共7页
Chinese Journal of Cardiovascular Research
基金
国家自然科学基金(81970278)。
关键词
心房高频事件
危险因素
卒中
心房颤动
抗凝治疗
Atrial high-rate episodes
Risk factor
Stroke
Atrial fibrillation
Anticoagulant therapy
