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首页> 外文期刊>The American Journal of Cardiology >Increasing prevalence of atrial fibrillation and flutter in the United States.
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Increasing prevalence of atrial fibrillation and flutter in the United States.

机译：在美国，心房纤颤和扑动的患病率上升。

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The prevalence data for atrial fibrillation (AF) are dated. The present retrospective study estimated the current and projected prevalence of AF and atrial flutter (AFL) in the United States using a large national database. Claims data drawn from July 2004 to December 2005 from the MarketScan research databases from Thomson Reuters were used to identify patients aged >or=20 years with nontransient AF and/or AFL and age- and gender-matched controls without these conditions. Of the 21,648,681 patients in the databases, 242,903 (1.12%) had nontransient AF and/or AFL (222,605 AF only, 5,376 AFL only, and 14,922 AF and AFL). Patients with AF only, AFL only, and AF and AFL had a greater (p <0.001) prevalence of co-morbidities, including hypertension (62.0%, 61.3%, and 57.0%, respectively) and coronary artery disease (43.0%, 44.7%, and 44.5%, respectively), than matched controls (45.1% hypertension and 19.4% coronary artery disease). Applying the US Census Bureau population estimates to the prevalence rates for AF and/or AFL in the databases, it was estimated that 3.03 million persons in the United States had AF only, 0.07 million had AFL only, and 0.19 million had AF and AFL in 2005. The projected prevalence for 2050 was 7.56 million for AF only, 0.15 million for AFL only, and 0.44 million for AF and AFL. In conclusion, the current prevalence of AF and AFL is high and is projected to increase considerably by 2050. The current and projected increases in the prevalence of AF are greater than predicted by a previous sentinel study and might reflect more than the aging of the population.
机译：心房颤动（AF）的患病率数据已过时。本回顾性研究使用大型国家数据库估算了美国房颤和心房扑动（AFL）的当前和预计患病率。 2004年7月至2005年12月从Thomson Reuters的MarketScan研究数据库中提取的索赔数据用于识别年龄≥20岁且患有非暂时性AF和/或AFL以及年龄和性别匹配的对照且没有这些情况的患者。数据库中的21,648,681名患者中，有242,903名（1.12％）患有非暂时性AF和/或AFL（仅222,605 AF，仅5,376 AFL和14,922 AF和AFL）。仅患有AF，仅患有AFL以及AF和AFL的合并症患病率更高（p <0.001），包括高血压（分别为62.0％，61.3％和57.0％）和冠状动脉疾病（43.0％，44.7）分别为30％和44.5％）（相较于对照组）（高血压为45.1％，冠心病为19.4％）。将美国人口普查局的人口估计值应用于数据库中AF和/或AFL的患病率，估计美国有303万人仅患有AF，70万仅患有AFL，19万只有AF和AFL。 2005年。预计到2050年，仅AF的患病率为756万，仅AFL的为15万，AF和AFL的为44万。总之，目前的房颤和房颤的患病率很高，预计到2050年将大大增加。房颤的患病率的当前和预计的增长比以前的前哨研究所预测的要大，并且可能反映出的不仅仅是人口老龄化。

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