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住院患者慢性心力衰竭并发心房颤动的调查分析
引用本文:李睿,黄鹤,余锂镭,邹永光,何荣华,李朋,黄从刚,程俊,饶国涛. 住院患者慢性心力衰竭并发心房颤动的调查分析[J]. 中国心脏起搏与心电生理杂志, 2011, 25(4): 337-338. DOI: 42-1421/R.20110713.1029.001
作者姓名:李睿  黄鹤  余锂镭  邹永光  何荣华  李朋  黄从刚  程俊  饶国涛
作者单位:1. 武汉大学人民医院心内科(湖北武汉 430060);孝感市中心医院心内科(湖北孝感 432100)
2. 武汉大学人民医院心内科(湖北武汉 430060)
3. 孝感市中心医院心内科(湖北孝感 432100)
摘    要:目的了解慢性心力衰竭(简称心衰)住院患者心房颤动(简称房颤)发生的相关因素。方法回顾性调查分析湖北孝感市中心医院2000年1月1日至2010年5月31日住院的心衰患者,多因素logistic回归分析房颤相关危险因素。结果心衰住院患者房颤发生率为40.12%。多因素logistic回归分析发现:①房颤的发生风险随年龄增加而增加:与<40岁组相比,40~50,50~60,60~70,70~80和≥80岁组房颤HR(95%CI)分别为1.452,2.167,2.457,2.805和3.157;P均<0.05或0.01②房颤发生风险随左室射血分数(LVEF)降低而显著增加:与LVEF 0.41~0.50组相比,LVEF 0.31~0.40,0.21~0.30和≤0.20组房颤HR分别为1.565,1.640和2.104;P均<0.05。结论慢性心衰住院患者房颤常见;慢性心衰患者房颤发生率随年龄增加和LVEF减低而增加。

关 键 词:心血管病学  慢性心力衰竭  心房颤动  年龄  左室射血分数

The prevalence and risk factors of atrial fibrillationa in-hospital patients with chronic heart failure
LI Rui,,HUANG He,YU Li-lei,ZOU Yong-guang,HE Rong-hua,LI Peng,HUANG Cong-gang,CHEN Jun,RAO Guo-tao. The prevalence and risk factors of atrial fibrillationa in-hospital patients with chronic heart failure[J]. Chinese Journal of Cardiac Pacing and Electrophysiology, 2011, 25(4): 337-338. DOI: 42-1421/R.20110713.1029.001
Authors:LI Rui    HUANG He  YU Li-lei  ZOU Yong-guang  HE Rong-hua  LI Peng  HUANG Cong-gang  CHEN Jun  RAO Guo-tao
Affiliation:LI Rui1,2,HUANG He1,YU Li-lei1,ZOU Yong-guang,HE Rong-hua2,LI Peng2,HUANG Cong-gang2,CHEN Jun2,RAO Guo-tao2.1 Department of Cardiology,Renmin Hospital of Wuhan University,Wuhan 430060,China,2 Department of Cardiology,Xiaogan Central Hospital,Xiaogan 432100,Hubei
Abstract:Objective To investigate the prevalence of atrial fibrillation(AF) and to analyze the correlation between AF and age,NYHA heart function classification and left ventricular ejection fraction(LVEF),in patients with chronic heart failure(CHF) in hospital.Methods Data of in-hospital patients with CHF were investigated between 2000 and 2010 from Xiaogan central hospitals in Hubei Province.Univariate and multivariate logistic proportional hazard analysis were performed to determinate the relationships between AF...
Keywords:Cardiology  Chronic heart failure  Atrial fibrillation  Age  Left ventricular ejection fraction  
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