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首页> 外文期刊>American Journal of Cardiovascular Disease Research >A Chronic Disorder in the Emergency Room: A Descriptive Analysis of Paroxysmal Atrial Fibrillation Cases Requiring Urgent Treatment
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A Chronic Disorder in the Emergency Room: A Descriptive Analysis of Paroxysmal Atrial Fibrillation Cases Requiring Urgent Treatment

机译：急诊室中的慢性疾病：对阵发性房颤需要紧急治疗的病例的描述性分析

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摘要

Atrial fibrillation (AF) is the most frequent arrhythmia, and patients frequently visit emergency departments, where the condition might be diagnosed for the first time. An analysis of factors that might lead a chronic patient to seek urgent medical treatment is important, especially in terms of preventing long-term disability and morbidity. This is even truer for atrial fibrillations, whose complications have a known notoriety and are source of important mortality figures, mainly related to ischemic stroke or more serious consequential cardiac arrhythmias. We have studied paroxysmal AF cases treated during a period of two months in an emergency facility of the University Hospital Centre of Tirana, with 106 patients recruited sequentially in a prospective, open-label and descriptive study. Our data confirmed an important association between overweight and obesity and paroxysmal AF in general, since more than 80% of the patients suffering from this condition had a high body mass index. A thorough discussion of the data, confronted with much larger studies reported from several sources and available actually, is made at the end of the paper. The necessity to re-confirm findings through larger groups of study and through a multi-centre design is formulated.
机译：心房纤颤（AF）是最常见的心律失常，患者经常去急诊室就诊，可能是首次诊断出这种情况。对可能导致慢性患者寻求紧急治疗的因素进行分析非常重要，特别是在预防长期残疾和发病方面。对于房颤来说更是如此，因为房颤的并发症众所周知，并且是重要的死亡率数字的来源，主要与缺血性中风或更严重的继发性心律不齐有关。我们已经在地拉那大学医院中心的急诊室研究了在两个月内治疗的阵发性AF病例，在一项前瞻性，开放标签和描述性研究中依次招募了106名患者。我们的数据证实了超重与肥胖和阵发性房颤之间的重要联系，因为超过80％的患有此病的患者具有较高的体重指数。在论文的末尾，对数据进行了全面的讨论，面临着来自多个来源的大量研究报告，这些研究实际上是可用的。提出了通过更大范围的研究和通过多中心设计来重新确认研究结果的必要性。

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