心房颤动规范化治疗与进展资料.pptVIP

* Atrial fibrillation (AF) is said to be an epidemic, affecting 1% to 1.5% of the population in the developed world. The prevalence of AF will grow dramatically in the coming decades as the elderly proportion of the population increases. Projected data from the cross-sectional ATRIA (AnTicoagulation and Risk Factors In Atrial Fibrillation) study of 17,974 adults who were enrolled in a large health maintenance organization in California and were diagnosed with AF in 1996-97, have suggested that the number of Americans with AF will increase to more than 5.6 million, (2.5-fold), during the next 50 years [1]. Recent analysis from Mayo Clinic, based on the Poisson estimates of an increase in AF in Olmsted County between 1980 and 2000, has shown that the projected number of adults with AF for the year 2050 could be 12.1 million, assuming no further increase in age-adjusted AF incidence beyond 2000, and 15.9 million (a 3-fold upsurge from 2000), if a continuous raise in the incidence of AF is present [2]. Go AS, Hylek EM, Phillips KA, Chang Y, Henault LE, Selby JV, Singer DE. Prevalence of diagnosed atrial fibrillation in adults: national implications for rhythm management and stroke prevention: the AnTicoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study. JAMA 2001;285:2370-2375. Miyasaka Y, Barnes ME, Gersh BJ, Cha SS, Bailey KR, Abhayaratna WP, Seward JB, Tsang TS. Secular trends in incidence of atrial fibrillation in Olmsted County, Minnesota, 1980 to 2000, and implications on the projections for future prevalence. Circulation 2006;114:119-125. Am J Cardiol. 2009 Dec 1;104(11):1534-9. Increasing prevalence of atrial fibrillation and flutter in the United States. Naccarelli GV, Varker H, Lin J, Schulman KL. Pennsylvania State Heart and Vascular Institute, Milton S. Hershey Medical Center, Pennsylvania State University, Hershey, Pennsylvania, USA. gnaccarelli@ The prevalence data for atrial fibrillation (AF) are dated. The present retrospective stud