...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The American Journal of Cardiology >Detection of Previously Unrecognized (Subclinical) Atrial Fibrillation
【24h】

Detection of Previously Unrecognized (Subclinical) Atrial Fibrillation

机译：检测以前未被识别的（亚临床）心房颤动

获取原文
获取原文并翻译 | 示例
   

获取外文期刊封面封底 >>

       
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Atrial fibrillation (AF) has been associated with increased morbidity and mortality, even when symptoms are absent and the arrhythmia is unrecognized (e.g., subclinical AF [SCAF]). Despite substantial evidence demonstrating an association between AF and adverse outcomes, the role of mass screening for previously unrecognized SCAF, such that its individual and population risks may be reduced by prophylactic therapy, remains uncertain. Many AF screening strategies exist, from pulse palpation and single-use devices to implanted cardiac monitors; however, existing guidelines are insufficient in specifying who to screen and for how long. In general, higher age, more (and more severe) comorbidities, and longer monitoring periods are associated with greater detection of SCAF. Herein we review the significance of previously unrecognized SCAF and current status of SCAF detection methods. We then propose a clinical approach to help clinicians incorporate AF screening into their practice. In conclusion, we report that SCAF may not be rare, that inserted cardiac monitors have the highest yield of SCAF detection, that clinical concern regarding SCAF is appropriate, but that evidence for therapy mandates is still being collected. (C) 2020 Elsevier Inc. All rights reserved.
机译：心房颤动（AF）与发病率和死亡率增加有关，即使在没有症状且心律失常未被识别的情况下（例如亚临床AF[SCAF]）。尽管有大量证据表明房颤与不良后果之间存在关联，但对先前未被认识的SCAF进行大规模筛查的作用仍不确定，即预防性治疗可以降低其个体和人群风险。有很多房颤筛查策略，从脉搏触诊和一次性设备到植入的心脏监护仪；然而，现有的指导方针不足以规定筛查对象和筛查时间。总的来说，年龄越大，合并症越多（也越严重），监测时间越长，SCAF的检出率越高。在此，我们回顾了以前未被认识的SCAF的意义和SCAF检测方法的现状。然后，我们提出了一种临床方法，以帮助临床医生将房颤筛查纳入他们的实践。总之，我们报告SCAF可能并不罕见，插入的心脏监护仪具有最高的SCAF检测率，对SCAF的临床关注是适当的，但治疗授权的证据仍在收集中。（C） 2020爱思唯尔公司版权所有。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号