中国人非瓣膜病心房颤动患者脑卒中发生率及影响因素的回顾性前瞻研究(摘要)

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Objective:Toinvestigatetheincidence ofstrokeanditsinfluencefactorsamong Chinese patients with nonvalvularatrialfibrillation (AF)- Methods:Thisstudyincluded 520 consecutive nonvalvularAFpatients (male346,female174;inpatients318,outpatients202)from a single center- The mean ageofthese patients was 71-2±12-2 (range40 to102) years- The meanfollow up period was6-75 ±4-03 years with 100 % follow uprate- Results:Thestrokeincidence was5-3 % inallpatients,6-9% inpatients with highrisksand4-0% inpatientswithlow risks- Asriskfactors, hypertension anddiabeteshad apositivecorrelation withincidenceofAF stroke(p= 0-00001 and0-0101,respectively)-There wasnocorrelation between strokeand previousstroke,myocardialinfarction,heartfailureand hypertrophiccardiomyopathy (p= NS)- Conclusions:The strokeincidenceamongChinesenonvalvular AFissimilartothatofwesterncountries- Hypertensionand diabetesare highrisk factorsofstroke Objective: To investigate the clinical characteristics of Chinese patients with nonvalvularatrial fibrillation (AF) -Methods: This is to study 520 consecutive nonvalvular AFpatients (male346, female174; inpatients318, outpatients202) from a single center- The mean age of the patients was 71-2 ± 12-2 (range40 to102) years- The meanfollow up was was 6-75 ± 4-03 years with 100% follow up rate-Results: The stroke status was 5--3% in allpatients, 6-9% in patients with highrisks and 4--0% in patients with low risks- Asriskfactors, hypertension and diabeteshad apositivecorrelation withinidence of AF stroke (p = 0-00001 and 0-0101, respectively) -There wasnocorrelation between stroke and previousstroke, myocardial infarction, heartfailure and hypertrophic cardiomyopathy (p = NS) - Conclusions: The strokeincidence of Chinese nonvalvular AFissimilartothatof western countries-Hypertension and diabetesare highrisk factors of stroke
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