摘要
心房颤动,简称房颤(AF)是成人最常见的心律失常之一。不明原因栓塞性卒中(ESUS)是指进行了相关的病因检查后,仍未发现明确致病原因的缺血性卒中。在诊断ESUS的过程中,排除房颤是极其重要的一步。但是目前的指南中对于ESUS患者排除房颤时应用的监测设备、监测时长、各种房颤的预测因素以及不同房颤风险人群的个性化监测没有明确的说明,本文就排除房颤在ESUS患者中的重要性以及诊断ESUS前对于排除房颤的最佳监测设备及最佳监测时长、房颤的预测因素、不同房颤风险人群的个性化监测进行综述。
Atrial fibrillation(AF)is one of the most common arrhythmias in adults.Unexplained embolic stroke(ESUS)is defined as an ischemic stroke in which no clear cause has been identified despite recommended etiological testing.Ruling out atrial fibrillation is an extremely important step in the diagnosis of ESUS.However,there is no clear description in the current guidelines for the monitoring equipment used to rule out atrial fibrillation,the duration of monitoring,the various predictors of atrial fibrillation,and the personalized monitoring of different atrial fibrillation risk groups.
作者
柴鑫茹
王雅皙
张敏洁
施依璐
段莎莎
李旭晖
张小杉
Chai Xinru;Wang Yaxi;Zhang Minjie;Shi Yilu;Duan Shasha;Li Xuhui;Zhang Xiaoshan(Department of Ultrasound,the Affiliated Hospital of Inner Mongolia Medical University,Hohhot 010050,China)
出处
《中华临床医师杂志(电子版)》
2025年第1期68-74,共7页
Chinese Journal of Clinicians(Electronic Edition)
基金
内蒙古自治区科技计划项目(2022YFSH0084)
内蒙古医科大学附属医院青年骨干项目(2022NYFYFG007)
内蒙古自治区高等学校青年科技人才发展计划项目(NJYT22021)
关键词
心房颤动
不明原因栓塞性卒中
植入式心电事件监测设备
个性化房颤监测
Atrial fibrillation
Unexplained embolic stroke
Implantable ECG event monitoring device
Personalized atrial fibrillation monitoring
